| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_BE_4 | Engagement of patients through implementation of improvements in patient portal | |||||
| IA_EC_BMH_2 | Tobacco use | |||||
| IA_EC_BMH_4 | Depression screening | |||||
| IA_EC_CC_13 | Practice Improvements for Bilateral Exchange of Patient Information | |||||
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| MIPS_EC_107_overall | Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 0 | 58 | 1 | 89 | EHR |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 75 | 92 | 3 | 100 | REG |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 76 | 111 | 3 | 100 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 54 | 5159 | 1 | 100 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 22 | 165 | 1 | 98 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 1 | 435 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 1 | 434 | EHR | ||
| MIPS_EC_236_overall | Controlling High Blood Pressure | 81 | 234 | EHR | ||
| MIPS_EC_281_overall | Dementia: Cognitive Assessment | 2 | 54 | 1 | 94 | EHR |
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 30 | 666 | 2 | 64 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 22 | 324 | 1 | 100 | EHR |
| PI_EC_HIE_5 | Health Information Exchange(HIE) Bi-Directional Exchange | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 18 | 429 | 1 | 99 | EHR |
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_ONCACB_1 | ONC-ACB Surveillance Attestation | |||||
| PI_EC_LVPP_1 | e-Prescribing Exclusion | |||||
| PI_EC_PHCDRR_4 | Public Health Registry Reporting | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting | |||||
| PI_EC_PPHI_1 | Security Risk Analysis |
