| 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_CC_2 | Implementation of improvements that contribute to more timely communication of test results | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 28 | 102 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 53 | 396 | 3 | 85 | EHR |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 74 | 233 | 4 | 98 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 52 | 187 | 3 | 93 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 47 | 350 | 3 | 92 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 94 | 102 | 4 | 100 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 25 | 102 | 2 | 100 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100 | 895 | 5 | 100 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 31 | 35 | 2 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 1 | 471 | 1 | 96 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97 | 181 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 8 | 233 | 3 | 100 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 84 | 181 | EHR | ||
| MIPS_EC_236_overall | Controlling High Blood Pressure | 59 | 378 | EHR | ||
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 14 | 546 | 1 | 64 | EHR |
| MIPS_EC_309_overall | Cervical Cancer Screening | 24 | 168 | 1 | 98 | EHR |
| MIPS_EC_310_overall | Chlamydia Screening for Women | 9 | 22 | EHR | ||
| MIPS_EC_475_overall | HIV Screening | 20 | 445 | 3 | 33 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 94 | 233 | 4 | 100 | EHR |
| MIPS_EC_374_overall | Closing the Referral Loop: Receipt of Specialist Report | 11 | 316 | 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 | 3 | 67 | EHR |