| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_PM_16 | Implementation of medication management practice improvements | |||||
| IA_EC_PSPA_1 | Participation in an AHRQ-listed patient safety organization. | |||||
| IA_EC_PSPA_21 | Implementation of fall screening and assessment programs | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| MIPS_EC_001_overall | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 95 | 98 | EHR | ||
| MIPS_EC_007_overall | Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) | 92 | 60 | EHR | ||
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 2 | 596 | 1 | 85 | EHR |
| MIPS_EC_112_overall | Breast Cancer Screening | 4 | 200 | 1 | 93 | EHR |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 84 | 98 | 4 | 100 | EHR |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 4 | 526 | 1 | 92 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 46 | 26 | 2 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96 | 573 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93 | 573 | EHR | ||
| MIPS_EC_318_overall | Falls: Screening for Future Fall Risk | 91 | 523 | 4 | 100 | EHR |
| MIPS_EC_236_overall | Controlling High Blood Pressure | 69 | 521 | EHR | ||
| MIPS_EC_317_overall | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 29 | 985 | 2 | 64 | EHR |