| Measure Code | Measure Title | Performance Rate | Patient Count | Star Value | Five Star Benchmark | Collection Type |
|---|---|---|---|---|---|---|
| IA_EC_BMH_2 | Tobacco use | |||||
| 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_PM_16 | Implementation of medication management practice improvements | |||||
| MIPS_EC_047_overall | Advance Care Plan | 91 | 552 | 4 | 100 | REG |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 21 | 686 | 2 | 85 | EHR |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 23 | 1261 | 1 | 98 | EHR |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 40 | 1272 | 2 | 96 | EHR |
| MIPS_EC_144_overall | Oncology: Medical and Radiation - Plan of Care for Pain | 21 | 68 | 1 | 100 | REG |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95 | 3764 | 4 | 100 | EHR |
| MIPS_EC_226_screenedForUse | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 55 | 738 | EHR | ||
| MIPS_EC_226_tobacco | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 53 | 738 | EHR | ||
| MIPS_EC_143_overall | Oncology: Medical and Radiation Pain Intensity Quantified | 97 | 939 | 4 | 100 | EHR |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 69 | 52 | 3 | 100 | EHR |
| MIPS_EC_238_overall | Use of High-Risk Medications in Older Adults | 4 | 553 | 4 | 100 | EHR |
| QCDR_EC_PIMSH1_overall | Oncology: Advance Care Planning in metastatic cancer patients | 17 | 59 | 1 | 75 | QCDR |
| QCDR_EC_PIMSH4_overall | Oncology: Patient-reported pain improvement | 58 | 69 | QCDR |