| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_BE_13 | Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | |||||
| IA_EC_CC_2 | Implementation of improvements that contribute to more timely communication of test results | |||||
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| MIPS_EC_007_overall | Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) | 80 | 60 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 62 | 1075 | 3 | 85 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 2 | 403 | 1 | 93 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 93 | 1939 | 4 | 98 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 0 | 1162 | 1 | 92 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 92 | 3302 | 4 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100 | 805 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98 | 805 | EHR | ||
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 73 | 62 | 3 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 69 | 1284 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 0 | 1229 | 5 | 100 | EHR |
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 26 | 1192 | 2 | 64 | EHR |
| PI_EC_EP_1 | e-Prescribing | 100 | 1319 | 5 | 100 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 94 | 1229 | 4 | 100 | EHR |
| PI_EC_LVOTC_1 | Support Electronic Referral Loops By Sending Health Information Exclusion | |||||
| PI_EC_LVITC_2 | Support Electronic Referral Loops By Receiving and Reconciling Health Information 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 | 94 | 623 | 4 | 99 | EHR |
| PI_EC_PHCDRR_1_EX_1 | Immunization Registry Reporting Exclusion | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting | |||||
| PI_EC_PPHI_1 | Security Risk Analysis |