| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_BE_4 | Engagement of patients through implementation of improvements in patient portal | |||||
| IA_EC_BMH_4 | Depression screening | |||||
| IA_EC_BMH_2 | Tobacco use | |||||
| IA_EC_CC_13 | Practice Improvements for Bilateral Exchange of Patient Information | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 18 | 281 | EHR | ||
| MIPS_EC_112_overall | Breast Cancer Screening | 70 | 351 | 4 | 93 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 85 | 743 | 4 | 92 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 84 | 281 | 4 | 100 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 87 | 1237 | 4 | 98 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 28 | 281 | 2 | 100 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87 | 99 | 4 | 100 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98 | 2804 | 4 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 96 | 1109 | 5 | 96 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99 | 1119 | EHR | ||
| MIPS_EC_236_overall | Controlling High Blood Pressure | 65 | 899 | EHR | ||
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100 | 1119 | EHR | ||
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 25 | 815 | 2 | 64 | EHR |
| PI_EC_EP_1 | e-Prescribing | 98 | 11604 | 4 | 100 | EHR |
| PI_EC_HIE_5 | Health Information Exchange(HIE) Bi-Directional Exchange | |||||
| PI_EC_ONCACB_1 | ONC-ACB Surveillance Attestation | |||||
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 73 | 1266 | 3 | 99 | EHR |
| PI_EC_PHCDRR_4 | Public Health Registry Reporting | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting | |||||
| PI_EC_PPHI_1 | Security Risk Analysis |
