| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_BE_13 | Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | |||||
| IA_EC_CC_13 | Practice Improvements for Bilateral Exchange of Patient Information | |||||
| IA_EC_PSPA_19 | Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | |||||
| IA_EC_PSPA_20 | Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes | |||||
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 35 | 60 | 2 | 100 | REG |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100 | 66 | 5 | 100 | REG |
| MIPS_EC_145_overall | Radiology: Exposure Dose Indices or Exposure Time and Number of Images Reported for Procedures Using Fluoroscopy | 100 | 1087 | 5 | 100 | REG |
| PI_EC_HIE_1 | Support Electronic Referral Loops By Sending Health Information | 93 | 122 | 4 | 100 | REG |
| PI_EC_HIE_4 | Support Electronic Referral Loops By Receiving and Reconciling Health Information | 64 | 69 | 3 | 100 | REG |
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PHCDRR_1_EX_1 | Immunization Registry Reporting Exclusion | |||||
| PI_EC_PHCDRR_3_EX_1 | Electronic Case Reporting Exclusion | |||||
| PI_EC_PHCDRR_4_EX_1 | Public Health Registry Reporting Exclusion | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 93 | 315 | 4 | 100 | REG |
| PI_EC_PHCDRR_2_EX_1 | Syndromic Surveillance Reporting Exclusion | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting | |||||
| PI_EC_PPHI_1 | Security Risk Analysis |
