| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_AHE_6 | Provide Education Opportunities for New Clinicians | |||||
| IA_EC_BE_13 | Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | |||||
| IA_EC_BE_22 | Improved Practices that Engage Patients Pre-Visit | |||||
| IA_EC_BE_6 | Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | |||||
| IA_EC_EPA_1 | Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | |||||
| IA_EC_CC_8 | Implementation of documentation improvements for practice/process improvements | |||||
| IA_EC_PM_7 | Use of QCDR for feedback reports that incorporate population health | |||||
| IA_EC_PSPA_2 | Participation in MOC Part IV | |||||
| IA_EC_PSPA_20 | Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes | |||||
| IA_EC_PSPA_19 | Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | |||||
| IA_EC_PSPA_1 | Participation in an AHRQ-listed patient safety organization. | |||||
| IA_EC_PSPA_16 | Use of decision support and standardized treatment protocols | |||||
| IA_EC_PSPA_7 | Use of QCDR data for ongoing practice assessment and improvements | |||||
| MIPS_EC_424_overall | Perioperative Temperature Management | 100 | 396 | REG | ||
| MIPS_EC_430_overall | Prevention of Post-Operative Nausea and Vomiting (PONV) Combination Therapy | 100 | 45 | REG |