| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_BMH_2 | Tobacco use | |||||
| IA_EC_BMH_4 | Depression screening | |||||
| IA_EC_EPA_1 | Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 30 | 20 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 78 | 578 | 4 | 85 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 35 | 229 | 2 | 92 | EHR |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 55 | 200 | 3 | 98 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 29 | 126 | 2 | 93 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100 | 1933 | 5 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 33 | 374 | 2 | 96 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99 | 427 | EHR | ||
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99 | 140 | 4 | 100 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99 | 425 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 20 | 178 | 1 | 100 | EHR |
| PI_EC_EP_1 | e-Prescribing | 100 | 13370 | 5 | 100 | REG |
| PI_EC_EP_2 | Query of the Prescription Drug Monitoring Program (PDMP) | |||||
| PI_EC_HIE_1 | Support Electronic Referral Loops By Sending Health Information | 0 | 411 | 1 | 100 | REG |
| PI_EC_HIE_4 | Support Electronic Referral Loops By Receiving and Reconciling Health Information | 3 | 120 | 1 | 100 | REG |
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PHCDRR_1_EX_1 | Immunization Registry Reporting Exclusion | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 33 | 521 | 1 | 100 | REG |
| PI_EC_PHCDRR_5_EX_3 | Clinical Data Registry Reporting Exclusion | |||||
| PI_EC_PPHI_1 | Security Risk Analysis |
