Measure # |
Measure Name |
Collection Type |
Rate |
ACO Mean |
CAHPS-1 |
Get Timely Care, Appointments, and Information |
CAHPS for MIPS Survey |
82.81 |
83.68 |
CAHPS-2 |
How Well Providers Communicate |
CAHPS for MIPS Survey |
94.77 |
93.69 |
CAHPS-3 |
Patient's Rating of Provider |
CAHPS for MIPS Survey |
93.80 |
92.14 |
CAHPS-4 |
Access to Specialists |
CAHPS for MIPS Survey |
76.97 |
75.97 |
CAHPS-5 |
Health Promotion and Education |
CAHPS for MIPS Survey |
66.15 |
63.93 |
CAHPS-6 |
Shared Decision Making |
CAHPS for MIPS Survey |
67.89 |
61.60 |
CAHPS-7 |
Health Status and Functional Status |
CAHPS for MIPS Survey |
72.88 |
74.12 |
CAHPS-8 |
Care Coordination |
CAHPS for MIPS Survey |
86.91 |
85.77 |
CAHPS-9 |
Courteous and Helpful Office Staff |
CAHPS for MIPS Survey |
90.94 |
92.31 |
CAHPS-11 |
Stewardship of Patient Resources |
CAHPS for MIPS Survey |
23.01 |
26.69 |
Measure #: 001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control |
CMS Web Interface |
9.68 |
9.84 |
Measure #: 134 |
Preventative Care and Screening: Screening for Depression and Follow-up Plan |
CMS Web Interface |
86.53 |
80.97 |
Measure #: 236 |
Controlling High Blood Pressure |
CMS Web Interface |
75.40 |
77.80 |
Measure #: 318 |
Falls: Screening for Future Fall Risk |
CMS Web Interface |
100.00 |
89.42 |
Measure #: 110 |
Preventative Care and Screening: Influenza Immunization |
CMS Web Interface |
64.04 |
70.76 |
Measure #: 226 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
CMS Web Interface |
79.17 |
79.29 |
Measure #: 113 |
Colorectal Cancer Screening |
CMS Web Interface |
82.66 |
77.14 |
Measure #: 112 |
Breast Cancer Screening |
CMS Web Interface |
82.66 |
80.36 |
Measure #: 438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
CMS Web Interface |
90.99 |
87.05 |
Measure #: 370 |
Depression Remission at Twelve Months |
CMS Web Interface |
13.48 |
16.58 |
Measure #: 321 |
CAHPS for MIPS |
CMS Web Interface |
6.99 |
6.25 |
Measure #: 479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups |
Administrative Claims |
0.1639 |
0.1553 |
Measure #: 484 |
Clinician and Clinician Group
Risk-standarized Hospital Admission Rates for Patients with Multiple Chronic Conditions
|
Administrative Claims |
34.00 |
35.39 |