| 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_BMH_2 | Tobacco use | |||||
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 98 | 222 | EHR | ||
| MIPS_EC_007_overall | Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) | 92 | 25 | EHR | ||
| MIPS_EC_113_overall | Colorectal Cancer Screening | 15 | 634 | 1 | 92 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 0 | 222 | 1 | 100 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 3 | 280 | 1 | 93 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 85 | 222 | 4 | 100 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 13 | 1005 | 1 | 98 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100 | 1395 | 5 | 100 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 64 | 22 | 3 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 71 | 304 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 69 | 304 | EHR | ||
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 25 | 398 | 2 | 64 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 65 | 803 | EHR | ||
| MIPS_EC_309_overall | Cervical Cancer Screening | 0 | 194 | 1 | 98 | EHR |
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 0 | 691 | 5 | 100 | EHR |