| 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_CC_2 | Implementation of improvements that contribute to more timely communication of test results | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 39 | 153 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 27 | 475 | 2 | 85 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 54 | 160 | 3 | 93 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 43 | 307 | 2 | 92 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 85 | 153 | 4 | 100 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 0 | 153 | 1 | 100 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 80 | 1599 | 3 | 100 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 51 | 70 | 3 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 11 | 404 | 1 | 96 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100 | 437 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 92 | 437 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 19 | 248 | 1 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 59 | 381 | EHR | ||
| MIPS_EC_309_overall | Cervical Cancer Screening | 22 | 166 | 1 | 98 | EHR |
| MIPS_EC_305_30DaysOfVisit | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment | 0 | 30 | EHR | ||
| MIPS_EC_305_14DaysOfDiagnosis | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment | 0 | 30 | EHR | ||
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 21 | 248 | 1 | 100 | EHR |
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 28 | 576 | 2 | 64 | EHR |