| 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_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| MIPS_EC_007_overall | Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) | 90 | 79 | EHR | ||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 38 | 231 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 26 | 930 | 2 | 85 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 43 | 728 | 2 | 92 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 35 | 282 | 2 | 93 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 82 | 231 | 4 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97 | 555 | EHR | ||
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 38 | 68 | 2 | 100 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 90 | 555 | EHR | ||
| MIPS_EC_236_overall | Controlling High Blood Pressure | 68 | 738 | EHR | ||
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 70 | 607 | 3 | 100 | EHR |
| MIPS_EC_309_overall | Cervical Cancer Screening | 19 | 253 | 1 | 98 | EHR |