| 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_PM_7 | Use of QCDR for feedback reports that incorporate population health | |||||
| 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_130_overall | Documentation of Current Medications in the Medical Record | 99 | 519 | 4 | 100 | REG |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 16 | 348 | 1 | 100 | REG |
| MIPS_EC_145_overall | Radiology: Exposure Dose Indices or Exposure Time and Number of Images Reported for Procedures Using Fluoroscopy | 99 | 2022 | 4 | 100 | REG |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97 | 153 | 4 | 100 | REG |
| PI_EC_HIE_4 | Support Electronic Referral Loops By Receiving and Reconciling Health Information | 41 | 51 | 2 | 100 | REG |
| PI_EC_ONCDIR_1 | ONC Direct Review Attestation | |||||
| PI_EC_PHCDRR_1_EX_1 | Immunization Registry Reporting Exclusion | |||||
| PI_EC_PEA_1 | Provide Patients Electronic Access to Their Health Information | 99 | 1764 | 4 | 100 | REG |
| PI_EC_PHCDRR_4_EX_1 | Public Health Registry Reporting Exclusion | |||||
| PI_EC_PHCDRR_3_EX_1 | Electronic Case Reporting Exclusion | |||||
| PI_EC_PHCDRR_5 | Clinical Data Registry Reporting | |||||
| PI_EC_PPHI_1 | Security Risk Analysis | |||||
| PI_EC_PHCDRR_2_EX_1 | Syndromic Surveillance Reporting Exclusion |
