| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_BE_6 | Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 39 | 227 | EHR | ||
| MIPS_EC_007_overall | Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) | 76 | 21 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 8 | 403 | 1 | 85 | EHR |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 5 | 425 | 1 | 98 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 23 | 100 | 2 | 93 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 0 | 227 | 1 | 100 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 93 | 227 | 4 | 100 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 6 | 324 | 1 | 92 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 32 | 790 | 2 | 98 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 0 | 666 | 1 | 96 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 40 | 45 | 2 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 54 | 290 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 12 | 425 | 3 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 81 | 589 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 77 | 589 | EHR | ||
| MIPS_EC_309_overall | Cervical Cancer Screening | 50 | 74 | 3 | 98 | EHR |
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 21 | 4470 | 2 | 64 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 97 | 425 | 4 | 100 | EHR |
| MIPS_EC_374_overall | Closing the Referral Loop: Receipt of Specialist Report | 9 | 23 | 1 | 88 | 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 | 27 | EHR | ||
| MIPS_EC_475_overall | HIV Screening | 29 | 320 | 4 | 33 | EHR |