| IA_EC_BE_13 |
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. |
|
|
|
|
|
| IA_EC_PSPA_13 |
Participation in Joint Commission Evaluation Initiative |
|
|
|
|
|
| IA_EC_PSPA_19 |
Implementation of formal quality improvement methods, practice changes, or other practice improvement processes |
|
|
|
|
|
| IA_EC_PSPA_20 |
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes |
|
|
|
|
|
| MIPS_EC_110_overall |
Preventive Care and Screening: Influenza Immunization |
29 |
73 |
1 |
100 |
CLM |
| MIPS_EC_039_overall |
Screening for Osteoporosis for Women Aged 65-85 Years of Age |
43 |
37 |
2 |
100 |
CLM |
| MIPS_EC_111_overall |
Pneumococcal Vaccination Status for Older Adults |
80 |
79 |
4 |
100 |
CLM |
| MIPS_EC_113_overall |
Colorectal Cancer Screening |
16 |
45 |
1 |
100 |
CLM |
| MIPS_EC_130_overall |
Documentation of Current Medications in the Medical Record |
85 |
39 |
3 |
100 |
REG |
| MIPS_EC_128_overall |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan |
32 |
38 |
2 |
100 |
REG |
| MIPS_EC_145_overall |
Radiology: Exposure Dose Indices or Exposure Time and Number of Images Reported for Procedures Using Fluoroscopy |
100 |
764 |
5 |
100 |
REG |
| PI_EC_HIE_4 |
Support Electronic Referral Loops By Receiving and Reconciling Health Information |
4 |
26 |
1 |
100 |
REG |
| PI_EC_LVPP_1 |
e-Prescribing Exclusion |
|
|
|
|
|
| PI_EC_PHCDRR_1_EX_1 |
Immunization Registry Reporting Exclusion |
|
|
|
|
|
| PI_EC_ONCDIR_1 |
ONC Direct Review Attestation |
|
|
|
|
|
| PI_EC_PHCDRR_4_EX_1 |
Public Health Registry Reporting Exclusion |
|
|
|
|
|
| PI_EC_PHCDRR_5 |
Clinical Data Registry Reporting |
|
|
|
|
|
| PI_EC_PEA_1 |
Provide Patients Electronic Access to Their Health Information |
100 |
616 |
5 |
100 |
REG |
| PI_EC_PHCDRR_3_EX_1 |
Electronic Case Reporting Exclusion |
|
|
|
|
|
| PI_EC_PHCDRR_2_EX_1 |
Syndromic Surveillance Reporting Exclusion |
|
|
|
|
|
| PI_EC_PPHI_1 |
Security Risk Analysis |
|
|
|
|
|
