| 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_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 | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 22 | 103 | EHR | ||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_112_overall | Breast Cancer Screening | 65 | 224 | 3 | 93 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 50 | 103 | 3 | 100 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 91 | 103 | 4 | 100 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 91 | 385 | 4 | 92 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 87 | 1026 | 3 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 41 | 523 | 2 | 96 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 60 | 58 | 3 | 100 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 36 | 578 | 2 | 98 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 82 | 648 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 78 | 648 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 13 | 353 | 2 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 70 | 328 | EHR | ||
| MIPS_EC_309_overall | Cervical Cancer Screening | 33 | 172 | 2 | 98 | EHR |
| PI_EC_EP_1 | e-Prescribing | 99 | 2962 | 4 | 100 | EHR |
| PI_EC_HIE_5 | Health Information Exchange(HIE) Bi-Directional Exchange | |||||
| PI_EC_ONCACB_1 | ONC-ACB Surveillance Attestation | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 78 | 2350 | 4 | 99 | EHR |
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PHCDRR_4 | Public Health Registry Reporting | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting | |||||
| PI_EC_PPHI_1 | Security Risk Analysis |
