| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 82 | 50 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 61 | 127 | 3 | 85 | EHR |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 50 | 110 | 3 | 98 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 18 | 208 | 1 | 98 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 100 | 50 | 5 | 100 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100 | 556 | 5 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 100 | 181 | 5 | 96 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100 | 144 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100 | 144 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 0 | 110 | 5 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 77 | 166 | EHR | ||
| PI_EC_EP_1 | e-Prescribing | 100 | 572 | 5 | 100 | ATT |
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 73 | 127 | 5 | 64 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 99 | 110 | 4 | 100 | EHR |
| PI_EC_ONCACB_1 | ONC-ACB Surveillance Attestation | |||||
| PI_EC_LVOTC_1 | Support Electronic Referral Loops By Sending Health Information Exclusion | |||||
| PI_EC_HIE_4 | Support Electronic Referral Loops By Receiving and Reconciling Health Information | 68 | 560 | 3 | 100 | ATT |
| PI_EC_PHCDRR_1_EX_1 | Immunization Registry Reporting Exclusion | |||||
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PHCDRR_2_EX_1 | Syndromic Surveillance Reporting Exclusion | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 10 | 2222 | 1 | 100 | ATT |
| PI_EC_PPHI_1 | Security Risk Analysis |
