| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_PSPA_1 | Participation in an AHRQ-listed patient safety organization. | |||||
| IA_EC_PSPA_19 | Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | |||||
| IA_EC_PSPA_20 | Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes | |||||
| IA_EC_PSPA_7 | Use of QCDR data for ongoing practice assessment and improvements | |||||
| MIPS_EC_047_overall | Advance Care Plan | 98 | 40 | 4 | 100 | REG |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100 | 28 | 5 | 100 | REG |
