| IA_EC_AHE_5 |
MIPS Eligible Clinician Leadership in Clinical Trials or CBPR |
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| IA_EC_AHE_6 |
Provide Education Opportunities for New Clinicians |
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| IA_EC_BE_13 |
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. |
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| IA_EC_BE_22 |
Improved Practices that Engage Patients Pre-Visit |
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| IA_EC_BE_4 |
Engagement of patients through implementation of improvements in patient portal |
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| IA_EC_BMH_4 |
Depression screening |
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| IA_EC_CC_11 |
Care transition standard operational improvements |
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| IA_EC_CC_13 |
Practice Improvements for Bilateral Exchange of Patient Information |
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| IA_EC_EPA_5 |
Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/) |
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| IA_EC_CC_8 |
Implementation of documentation improvements for practice/process improvements |
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| IA_EC_EPA_1 |
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record |
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| IA_EC_PM_2 |
Anticoagulant Management Improvements |
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| IA_EC_PSPA_16 |
Use of decision support and standardized treatment protocols |
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| IA_EC_PM_17 |
Participation in Population Health Research |
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| IA_EC_PM_21 |
Advance Care Planning |
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| IA_EC_PSPA_2 |
Participation in MOC Part IV |
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| IA_EC_PSPA_19 |
Implementation of formal quality improvement methods, practice changes, or other practice improvement processes |
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| IA_EC_PSPA_29 |
Consulting AUC Using Clinical Decision Support when Ordering Advanced |
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| IA_EC_PSPA_6 |
Consultation of the Prescription Drug Monitoring Program |
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| MIPS_EC_001_overall |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) |
31 |
229 |
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EHR |
| MIPS_EC_107_overall |
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment |
4 |
24 |
1 |
89 |
EHR |
| IA_EC_PSPA_20 |
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes |
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| MIPS_EC_007_overall |
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) |
86 |
50 |
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EHR |
| MIPS_EC_110_overall |
Preventive Care and Screening: Influenza Immunization |
53 |
716 |
3 |
85 |
EHR |
| MIPS_EC_111_overall |
Pneumococcal Vaccination Status for Older Adults |
62 |
561 |
3 |
98 |
EHR |
| MIPS_EC_117_overall |
Diabetes: Eye Exam |
11 |
229 |
1 |
100 |
EHR |
| MIPS_EC_113_overall |
Colorectal Cancer Screening |
44 |
520 |
2 |
92 |
EHR |
| MIPS_EC_112_overall |
Breast Cancer Screening |
74 |
197 |
4 |
93 |
EHR |
| MIPS_EC_119_overall |
Diabetes: Medical Attention for Nephropathy |
96 |
229 |
4 |
100 |
EHR |
| MIPS_EC_130_overall |
Documentation of Current Medications in the Medical Record |
99 |
1670 |
4 |
100 |
EHR |
| MIPS_EC_134_overall |
Preventive Care and Screening: Screening for Depression and Follow-Up Plan |
0 |
706 |
1 |
96 |
EHR |
| MIPS_EC_226_overall |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
48 |
33 |
2 |
100 |
EHR |
| MIPS_EC_226_tobacco |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
96 |
378 |
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EHR |
| MIPS_EC_238_overall |
Use of High-Risk Medications in Older Adults |
9 |
561 |
3 |
100 |
EHR |
| MIPS_EC_236_overall |
Controlling High Blood Pressure |
57 |
581 |
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EHR |
| MIPS_EC_226_screenedForUse |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
100 |
378 |
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EHR |
| MIPS_EC_317_overall |
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
28 |
548 |
2 |
64 |
EHR |
| MIPS_EC_305_30DaysOfVisit |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment |
0 |
20 |
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EHR |
| MIPS_EC_305_14DaysOfDiagnosis |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment |
0 |
20 |
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EHR |
| MIPS_EC_309_overall |
Cervical Cancer Screening |
26 |
128 |
2 |
98 |
EHR |
| MIPS_EC_472_overall |
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture |
0 |
57 |
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EHR |
| MIPS_EC_318_overall |
Falls: Screening for Future Fall Risk |
12 |
561 |
1 |
100 |
EHR |
| MIPS_EC_475_overall |
HIV Screening |
8 |
407 |
2 |
33 |
EHR |
| MIPS_EC_374_overall |
Closing the Referral Loop: Receipt of Specialist Report |
29 |
306 |
2 |
88 |
EHR |
| PI_EC_EP_1 |
e-Prescribing |
100 |
306 |
5 |
100 |
EHR |
| PI_EC_EP_2 |
Query of the Prescription Drug Monitoring Program (PDMP) |
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| PI_EC_LVOTC_1 |
Support Electronic Referral Loops By Sending Health Information Exclusion |
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| PI_EC_ONCACB_1 |
ONC-ACB Surveillance Attestation |
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| PI_EC_PHCDRR_1 |
Immunization Registry Reporting |
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| PI_EC_LVITC_2 |
Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion |
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| PI_EC_ONCDIR_1 |
ONC Direct Review Attestation |
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| PI_EC_PHCDRR_4 |
Public Health Registry Reporting |
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| PI_EC_PEA_1 |
Provide Patients Electronic Access to Their Health Information |
100 |
398 |
5 |
99 |
EHR |
| PI_EC_PHCDRR_2 |
Syndromic Surveillance Reporting |
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| PI_EC_PHCDRR_5 |
Clinical Data Registry Reporting |
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| PI_EC_PPHI_1 |
Security Risk Analysis |
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