The methods for dysphagia assessment and recommendations should be based on an institutional protocol and may include some combination of a structured bedside swallowing screen administered by nursing staff, bedside swallow evaluation by a speech-language pathologist, videofluoroscopic swallow evaluation, fiberoptic endoscopic evaluation of swallowing, consultation with speech- language pathologist or other specialist, or other method approved by local institutional protocol. Appendix. Continued 7. Long-Term Blood Pressure Treatment Initiation: Percentage of patients with ICH who are prescribed an oral or transdermal antihypertensive medication or who have a documented BP off medications <130/80 mmHg at the time of hospital discharge Numerator Patients who are prescribed an oral or transdermal antihypertensive medication or who have a documented BP off medications <130/80 mmHg at the time of hospital discharge Denominator Included patients: All patients with ICH Excluded patients: <18 y of age Length of stay >120 d Comfort measures only documented Enrolled in a clinical trial that would affect the use of antihypertensive medications or a specific BP target Documentation of reason for no long-term antihypertensive medication prescribed at discharge Period of Assessment Hospital discharge Sources of Data Prospective flowsheet, retrospective medical record review, electronic medical record, pharmacy records Rationale Hypertension is the single most important modifiable risk factor for recurrent stroke among patients who survive ICH. Long-term BP control reduces the risk of recurrent ICH. Randomized clinical trials have found early lowering of BP to be safe after spontaneous ICH. Source for Recommendations From the 2015 AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage 1. BP should be controlled in all patients with ICH (Class I, Level of Evidence A). 2. Measures to control BP should begin immediately after ICH onset (Class I, Level of Evidence A). 