Denominator Included patients: All patients with ICH Excluded patients: <18 y of age Patients who arrive at hospital >48 h after last known well time Length of stay >120 d Clear documentation for comfort care/palliative care measures established before hospital arrival Period of Assessment First 6 h after hospital arrival Sources of Data Prospective flowsheet, retrospective medical record review, electronic medical record Rationale Baseline clinical evaluation is part of the standard care of every patient with ICH. Measurement of a validated standardized severity score is important for prioritizing interventions, such as intensive care unit admission and surgical intervention, is the main determinant of short-term and long-term prognosis, facilitates communication of stroke severity between survivors, and is essential for risk adjustment to monitor provider and hospital care outcomes. The ICH score is selected for use because it is the most commonly used validated baseline severity score and is required by TJC in its analogous measure. Source for Recommendation From the 2015 AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage 1. A baseline severity score should be performed as part of the initial evaluation of patients with ICH (Class I; Level of Evidence B). Method of Reporting Per patient: documentation of whether a severity score was measured and a total score was recorded as part of the initial evaluation on arrival at the hospital Per patient population: percentage of patients in whom a severity score was measured and a total score was recorded as part of the initial evaluation on arrival at the hospital Challenges to Implementation Training in ICH score calculation may be needed to produce the most reliable results. 