| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_1 | Participation in an AHRQ-listed patient safety organization. | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 94 | 140 | EHR | ||
| MIPS_EC_007_overall | Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) | 77 | 70 | EHR | ||
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 85 | 140 | 4 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 70 | 498 | EHR | ||
| MIPS_EC_309_overall | Cervical Cancer Screening | 20 | 235 | 1 | 98 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 83 | 467 | 4 | 100 | EHR |
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 22 | 1038 | 2 | 64 | EHR |
