Quality Measures Report

Quality Measures and Interoperability Activity

Quality Measures Jan Feb March April May June July August September October November December
Breast Cancer Screening (>=82.05%) 23.34%

Quality Notes: Health Maintenance dates, top right hand corner, focus on these measures Pap dates needed Questionnaires Falls/ Hip (yearly) Use report for total hip- does not seem to be used/ are patients being called? BMI currently does not have a benchmark

Promoting Interoperability Activity

Promoting Interoperability Activity Jan Feb March April May June July August September October November December
Breast Cancer Screening (>=82.05%) 23.34%

PI Notes: PDMP integration into Patient Banner - in progress CDC Registry log in- update for 2023 reporting period - completed Upgrade to version 22.2.3 (needed prior to 90-day period) - scheduled for June 23, 2023 Cures Act FMH Portal check - needs to be scheduled