| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_PCMH | Electronic submission of Patient Centered Medical Home accreditation | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 18 | 493 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 4 | 1936 | 1 | 85 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 56 | 539 | 3 | 93 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 36 | 1103 | 2 | 92 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 91 | 493 | 4 | 100 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 78 | 2301 | 4 | 98 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 0 | 493 | 1 | 100 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100 | 4401 | 5 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 1 | 1689 | 1 | 96 | EHR |
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 19 | 748 | 1 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 58 | 1348 | EHR | ||
| MIPS_EC_309_overall | Cervical Cancer Screening | 36 | 796 | 2 | 98 | EHR |
| MIPS_EC_310_overall | Chlamydia Screening for Women | 33 | 33 | EHR | ||
| PI_EC_EP_2 | Query of the Prescription Drug Monitoring Program (PDMP) | |||||
| PI_EC_HIE_5 | Health Information Exchange(HIE) Bi-Directional Exchange | |||||
| PI_EC_EP_1 | e-Prescribing | 99 | 14494 | 4 | 100 | EHR |
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_ONCACB_1 | ONC-ACB Surveillance Attestation | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 100 | 1754 | 5 | 99 | EHR |
| PI_EC_PHCDRR_1 | Immunization Registry Reporting | |||||
| PI_EC_PPHI_1 | Security Risk Analysis | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting |
