| 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_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_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%) | 48 | 21 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 34 | 94 | 2 | 85 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 14 | 21 | 1 | 100 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 29 | 59 | 2 | 92 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 28 | 43 | 2 | 93 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99 | 136 | 4 | 100 | EHR |
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 7 | 29 | 3 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 69 | 62 | EHR | ||
| MIPS_EC_239_BMI | Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents | 100 | 35 | EHR | ||
| MIPS_EC_239_nutrition | Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents | 3 | 35 | EHR | ||
| MIPS_EC_239_physicalActivity | Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents | 6 | 35 | EHR | ||
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 26 | 86 | 2 | 64 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 7 | 29 | 1 | 100 | EHR |
| PI_EC_HIE_5 | Health Information Exchange(HIE) Bi-Directional Exchange | |||||
| PI_EC_EP_1 | e-Prescribing | 100 | 189 | 5 | 100 | EHR |
| PI_EC_LVPP_1 | e-Prescribing Exclusion | |||||
| PI_EC_ONCACB_1 | ONC-ACB Surveillance Attestation | |||||
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 60 | 171 | 3 | 99 | EHR |
| PI_EC_PHCDRR_4 | Public Health Registry Reporting | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting | |||||
| PI_EC_PPHI_1 | Security Risk Analysis |
