| 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_1 | Participation in an AHRQ-listed patient safety organization. | |||||
| 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%) | 34 | 136 | EHR | ||
| MIPS_EC_112_overall | Breast Cancer Screening | 68 | 325 | 3 | 93 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 82 | 136 | 4 | 100 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 67 | 523 | 3 | 92 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 26 | 141 | 2 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 79 | 490 | EHR | ||
| MIPS_EC_309_overall | Cervical Cancer Screening | 49 | 387 | 3 | 98 | EHR |
| MIPS_EC_370_12-17 | Depression Remission at Twelve Months | 5 | 20 | EHR | ||
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 96 | 385 | 4 | 100 | EHR |
