| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_EPA_1 | Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | |||||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 40 | 295 | 2 | 85 | EHR |
| MIPS_EC_047_overall | Advance Care Plan | 100 | 268 | 5 | 100 | REG |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 24 | 498 | 1 | 98 | EHR |
| MIPS_EC_143_overall | Oncology: Medical and Radiation Pain Intensity Quantified | 97 | 412 | 4 | 100 | EHR |
| MIPS_EC_144_overall | Oncology: Medical and Radiation - Plan of Care for Pain | 13 | 61 | 1 | 100 | REG |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95 | 1529 | 4 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 73 | 302 | EHR | ||
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 98 | 489 | 5 | 96 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 72 | 302 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 5 | 268 | 4 | 100 | EHR |
| MIPS_EC_374_overall | Closing the Referral Loop: Receipt of Specialist Report | 100 | 31 | 5 | 88 | EHR |
| PI_EC_EP_1 | e-Prescribing | 97 | 123 | 4 | 100 | REG |
| PI_EC_EP_2 | Query of the Prescription Drug Monitoring Program (PDMP) | |||||
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PHCDRR_1 | Immunization Registry Reporting | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 84 | 260 | 4 | 100 | REG |
| QCDR_EC_PIMSH4_overall | Oncology: Patient-reported pain improvement | 66 | 41 | QCDR | ||
| PI_EC_PPHI_1 | Security Risk Analysis | |||||
| QCDR_EC_PIMSH1_overall | Oncology: Advance Care Planning in metastatic cancer patients | 92 | 26 | 5 | 75 | QCDR |
