| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_AHE_6 | Provide Education Opportunities for New Clinicians | |||||
| IA_EC_BE_13 | Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | |||||
| IA_EC_BE_22 | Improved Practices that Engage Patients Pre-Visit | |||||
| IA_EC_BE_6 | Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | |||||
| IA_EC_CC_8 | Implementation of documentation improvements for practice/process improvements | |||||
| IA_EC_PM_7 | Use of QCDR for feedback reports that incorporate population health | |||||
| IA_EC_PM_11 | Regular Review Practices in Place on Targeted Patient Population Needs | |||||
| IA_EC_PSPA_11 | Participation in CAHPS or other supplemental questionnaire | |||||
| 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_2 | Participation in MOC Part IV | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PSPA_20 | Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes | |||||
| IA_EC_PSPA_7 | Use of QCDR data for ongoing practice assessment and improvements | |||||
| IA_EC_PSPA_8 | Use of Patient Safety Tools | |||||
| MIPS_EC_430_overall | Prevention of Post-Operative Nausea and Vomiting (PONV) Combination Therapy | 100 | 355 | REG | ||
| MIPS_EC_424_overall | Perioperative Temperature Management | 100 | 991 | REG | ||
| QCDR_EC_AQI62_overall | Obstructive Sleep Apnea: Patient Education | 100 | 1067 | QCDR |
