| 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_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PSPA_1 | Participation in an AHRQ-listed patient safety organization. | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 14 | 143 | EHR | ||
| MIPS_EC_007_overall | Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) | 67 | 21 | EHR | ||
| MIPS_EC_112_overall | Breast Cancer Screening | 63 | 222 | 3 | 93 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 78 | 525 | 4 | 92 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 88 | 143 | 4 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 50 | 890 | 3 | 96 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 77 | 487 | EHR | ||
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 95 | 465 | 4 | 100 | EHR |
| MIPS_EC_309_overall | Cervical Cancer Screening | 63 | 267 | 3 | 98 | EHR |
