Eligible Clinicians (EC) Meaningful Use Group Sample QRDA-3 (Informative) (test 1) CPC_SFTP CPC_SFTP
Reporting Parameters Reporting period: 01 January 2017 - 31 December 2017
Measure Section
eMeasure Title Version neutral identifier Version specific identifier
Controlling High Blood Pressure abdc37cc-bac6-4156-9b91-d1be2c8b7268 40280381-51f0-825b-0152-22b98cff181a
Performance Rate0.842 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exclusions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention e35791df-5b25-41bb-b260-673337bc44a8 40280381-503f-a1fc-0150-d33f5b0a1b8c
Performance Rate0.842 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exceptions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Breast Cancer Screening 19783c1b-4fd1-46c1-8a96-a2f192b97ee0 40280381-51f0-825b-0152-229c4ea3170c
Performance Rate0.842 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exclusions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Colorectal Cancer Screening aa2a4bbc-864f-45ee-b17a-7ebcc62e6aac 40280381-51f0-825b-0152-22a1e7e81737
Performance Rate0.842 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exclusions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Preventive Care and Screening: Influenza Immunization a244aa29-7d11-4616-888a-86e376bfcc6f 40280381-52fc-3a32-0153-395ce63513af
Performance Rate0.842 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exceptions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Pneumonia Vaccination Status for Older Adults 59657b9b-01bf-4979-a090-8534da1d0516 40280381-52fc-3a32-0153-1a646a2a0bfa
Performance Rate0.842 Initial Patient Population:950 Gender - Male400 Gender - Female550 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino600 Race - Black or African American300 Race - White350 Race - Asian300 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance300 Payer - Other50 Denominator:950 Gender - Male400 Gender - Female550 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino600 Race - Black or African American300 Race - White350 Race - Asian300 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance300 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Diabetes: Hemoglobin A1c Poor Control f2986519-5a4e-4149-a8f2-af0a1dc7f6bc 40280381-51f0-825b-0152-229afff616ee
Performance Rate0.842 Initial Patient Population:950 Gender - Male400 Gender - Female550 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino600 Race - Black or African American300 Race - White350 Race - Asian300 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance300 Payer - Other50 Denominator:950 Gender - Male400 Gender - Female550 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino600 Race - Black or African American300 Race - White350 Race - Asian300 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance300 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Diabetes: Low Density Lipoprotein (LDL) Management 0dac1dec-e011-493b-a281-7c28964872dd 40280381-52fc-3a32-0153-1dfb2f2c0c48
Performance Rate0.842 Initial Patient Population:950 Gender - Male400 Gender - Female550 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino600 Race - Black or African American300 Race - White350 Race - Asian300 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance300 Payer - Other50 Denominator:950 Gender - Male400 Gender - Female550 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino600 Race - Black or African American300 Race - White350 Race - Asian300 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance300 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control 500e4792-7f94-4e34-8546-ee71c56fe463 40280381-51f0-825b-0152-22bd8ee41875
Performance Rate0.842 0.789 Initial Patient Population:950 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator:950 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50 Initial Patient Population:950 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator:950 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:750 Gender - Male300 Gender - Female450 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino500 Race - Black or African American250 Race - White250 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare250 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 8439f671-2932-4d4c-88ca-ea5faeacc89a 40280381-52fc-3a32-0153-1a3981870b45
Performance Rate0.842 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exceptions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Falls: Screening for Future Fall Risk bc5b4a57-b964-4399-9d40-667c896f31ea 40280381-51f0-825b-0152-22aae8a21778
Performance Rate0.842 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exceptions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 9a031e24-3d9b-11e1-8634-00237d5bf174 40280381-537c-f767-0153-c378bd7207a5
Performance Rate0.89 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exclusions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator Exceptions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50
eMeasure Title Version neutral identifier Version specific identifier
Documentation of Current Medications in the Medical Record 9a032d9c-3d9b-11e1-8634-00237d5bf174 40280381-52fc-3a32-0153-3d64af97147b
Performance Rate0.842 Initial Patient Population:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Denominator Exceptions:50 Gender - Male30 Gender - Female20 Ethnicity - Not Hispanic or Latino40 Ethnicity - Hispanic or Latino10 Race - Black or African American10 Race - White20 Race - Asian20 Race - American Indian or Alaska Native0 Payer - Medicare15 Payer - Medicaid10 Payer - Private Health Insurance15 Payer - Other10 Denominator:1000 Gender - Male400 Gender - Female600 Ethnicity - Not Hispanic or Latino350 Ethnicity - Hispanic or Latino650 Race - Black or African American300 Race - White350 Race - Asian350 Race - American Indian or Alaska Native0 Payer - Medicare350 Payer - Medicaid250 Payer - Private Health Insurance350 Payer - Other50 Numerator:800 Gender - Male300 Gender - Female500 Ethnicity - Not Hispanic or Latino250 Ethnicity - Hispanic or Latino550 Race - Black or African American250 Race - White300 Race - Asian250 Race - American Indian or Alaska Native0 Payer - Medicare300 Payer - Medicaid200 Payer - Private Health Insurance250 Payer - Other50 Controlling High Blood Pressure Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Breast Cancer Screening Colorectal Cancer Screening Preventive Care and Screening: Influenza Immunization Pneumonia Vaccination Status for Older Adults Diabetes: Hemoglobin A1c Poor Control Diabetes: Low Density Lipoprotein (LDL) Management Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Falls: Screening for Future Fall Risk Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan Documentation of Current Medications in the Medical Record
Measure Section
ACI Measure Title Measure Identifier
Security Risk Analysis ACI-PPHI-1
Measure Answer (Yes/No): Yes
ACI Measure Title Measure Identifier
Patient Access ACI-PEA-1
Denominator: 800 Numerator: 600 Performance Rate: 0.750000 Patient Access
Measure Section
CPIA Activity Activity Identifier Question Answer Code
Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs. CPIA-1 Y
Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs.