| 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_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_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 45 | 197 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 58 | 601 | 3 | 85 | EHR |
| MIPS_EC_107_overall | Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 0 | 86 | 1 | 89 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 71 | 327 | 4 | 93 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 63 | 681 | 3 | 92 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 84 | 197 | 4 | 100 | EHR |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 15 | 197 | 1 | 100 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 19 | 1074 | 1 | 98 | EHR |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 94 | 1592 | 4 | 100 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 74 | 811 | 4 | 96 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 46 | 1021 | EHR | ||
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 92 | 78 | 4 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 74 | 576 | EHR | ||
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 4 | 530 | 4 | 100 | EHR |
| MIPS_EC_309_overall | Cervical Cancer Screening | 26 | 293 | 2 | 98 | EHR |
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 45 | 1021 | EHR | ||
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 43 | 638 | 3 | 64 | EHR |
| MIPS_EC_374_overall | Closing the Referral Loop: Receipt of Specialist Report | 26 | 329 | 2 | 88 | EHR |
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 6 | 530 | 1 | 100 | EHR |
