| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_11 | Participation in CAHPS or other supplemental questionnaire | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 35 | 200 | EHR | ||
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 47 | 401 | 2 | 98 | EHR |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 65 | 598 | 4 | 85 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 0 | 200 | 1 | 100 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 96 | 200 | 4 | 100 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 48 | 258 | 3 | 93 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 31 | 562 | 2 | 92 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 0 | 941 | 1 | 98 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 83 | 1822 | 3 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 0 | 740 | 1 | 96 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 58 | 612 | EHR | ||
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 16 | 830 | EHR | ||
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 50 | 108 | 3 | 100 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 24 | 830 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 0 | 401 | 5 | 100 | EHR |
| MIPS_EC_309_overall | Cervical Cancer Screening | 0 | 211 | 1 | 98 | EHR |
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 25 | 553 | 2 | 64 | EHR |
| MIPS_EC_374_overall | Closing the Referral Loop: Receipt of Specialist Report | 6 | 178 | 1 | 88 | EHR |
| MIPS_EC_475_overall | HIV Screening | 9 | 596 | 2 | 33 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 0 | 401 | 1 | 100 | EHR |
| MIPS_EC_472_overall | Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture | 10 | 137 | EHR |
