| 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_107_overall | Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 5 | 77 | 1 | 89 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 46 | 175 | 2 | 96 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 55 | 49 | 3 | 100 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 85 | 345 | EHR | ||
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91 | 345 | EHR | ||
| MIPS_EC_305_30DaysOfVisit | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment | 0 | 96 | EHR | ||
| MIPS_EC_305_14DaysOfDiagnosis | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment | 1 | 96 | EHR | ||
| MIPS_EC_239_BMI | Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents | 80 | 122 | EHR | ||
| MIPS_EC_239_nutrition | Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents | 0 | 122 | EHR | ||
| MIPS_EC_239_physicalActivity | Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents | 0 | 122 | EHR | ||
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 70 | 63 | 3 | 100 | EHR |
| MIPS_EC_370_12-17 | Depression Remission at Twelve Months | 8 | 93 | EHR |