| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_PSPA_11 | Participation in CAHPS or other supplemental questionnaire | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 35 | 170 | EHR | ||
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 84 | 285 | 4 | 100 | REG |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 99 | 252 | 5 | 85 | EHR |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 98 | 309 | 5 | 98 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 96 | 158 | 4 | 100 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87 | 694 | 4 | 100 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 97 | 693 | 4 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98 | 694 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 51 | 219 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 16 | 420 | 2 | 100 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 100 | 411 | 5 | 100 | EHR |
