| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_PSPA_1 | Participation in an AHRQ-listed patient safety organization. | |||||
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 40 | 206 | EHR | ||
| MIPS_EC_112_overall | Breast Cancer Screening | 51 | 374 | 3 | 93 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 64 | 870 | 3 | 92 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 92 | 134 | 4 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 99 | 1337 | 5 | 96 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97 | 1343 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96 | 1343 | EHR | ||
| MIPS_EC_236_overall | Controlling High Blood Pressure | 81 | 824 | EHR | ||
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 99 | 865 | 4 | 100 | EHR |
| MIPS_EC_309_overall | Cervical Cancer Screening | 56 | 298 | 3 | 98 | EHR |
| MIPS_EC_374_overall | Closing the Referral Loop: Receipt of Specialist Report | 47 | 599 | 3 | 88 | EHR |
