Several swallow screening methods have been published in the literature, each with benefits and limitations, without sufficient evidence to recommend a single consensus method. Source for Recommendation From the 2015 AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage A formal screening procedure for dysphagia should be performed in all patients before the initiation of oral intake to reduce the risk of pneumonia (Class I; Level of Evidence B). Method of Reporting Per patient: documentation of whether the patient who received oral intake had passed the most recent dysphagia screen before oral intake Per patient population: percentage of patients who received oral intake and passed the most recent dysphagia screen before oral intake Challenges to Implementation Documentation of timing of dysphagia screen in relation to oral intake may be difficult to locate in chart review. Analogous Measures Endorsed by Other Organizations This measure is identical to the AHA/ASA Ischemic Stroke Performance Measure 12. Analogous measures endorsed or used by NQF (No. 0243), AHA GWTG-Stroke, CDC PCNASP, and AMA PCPI. However, a key difference is that, in contrast to those measures, the AHA/ASA measure requires not only that a dysphagia screen has been administered before oral intake but also that the screen must have been passed, with adoption of an appropriate diet based on the screen results. AHA indicates American Heart Association; AMA, American Medical Association; ASA, American Stroke Association; CDC, Centers for Disease Control and Prevention; GWTG Stroke, Get With The Guidelines Stroke; ICH, intracerebral hemorrhage; NQF, National Quality Forum; PCNASP, Paul Coverdell National Acute Stroke program; and PCPI, Physician Consortium for Performance Improvement. 