| 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_4 | Depression screening | |||||
| IA_EC_CC_13 | Practice Improvements for Bilateral Exchange of Patient Information | |||||
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PSPA_18 | Measurement and Improvement at the Practice and Panel Level | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_047_overall | Advance Care Plan | 41 | 457 | 2 | 100 | REG |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 6 | 90 | 1 | 100 | REG |
| MIPS_EC_112_overall | Breast Cancer Screening | 0 | 117 | 1 | 93 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 20 | 925 | 1 | 98 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 94 | 1776 | 4 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 53 | 927 | 3 | 96 | EHR |
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 0 | 443 | 5 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0 | 473 | EHR | ||
| MIPS_EC_309_overall | Cervical Cancer Screening | 0 | 114 | 1 | 98 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 63 | 443 | 3 | 100 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0 | 473 | EHR | ||
| PI_EC_LVPP_1 | e-Prescribing Exclusion | |||||
| PI_EC_HIE_5 | Health Information Exchange(HIE) Bi-Directional Exchange | |||||
| PI_EC_ONCACB_1 | ONC-ACB Surveillance Attestation | |||||
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 23 | 968 | 1 | 99 | EHR |
| PI_EC_PPHI_1 | Security Risk Analysis | |||||
| PI_EC_PHCDRR_4 | Public Health Registry Reporting | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting |