"{Only for groups with zero eligible professionals participating in PQRS as individuals or for groups with eligible professionals participating in PQRS who only reported non-inverse measures with a 0% performance rate and/or inverse measures with a 100% performance rate:} Supplementary Exhibit 5 is not available because eligible professionals in your medical practice group did not report PQRS data as individuals in 2013 or did not report performing the recommended clinical quality action for at least one measure in 2013.

{Only for groups with at least one eligible professional who participated in PQRS as an individual:}

Supplementary Exhibit 5. Individual Eligible Professional Performance on the 2013 PQRS Measures: First Name Last Name (NPI #), {Only for eligible professionals who are incentive-eligible:} Incentive-Eligible {Only for eligible professionals who are not incentive-eligible:} Not Incentive-Eligible
{List only measures reported by the eligible professional under the TIN. For each measure, display only the mechanism(s) through which the measure was reported by the eligible professional under the TIN.} {Display Performance Rate even if Number of Eligible Cases is fewer than 20.}
"						
						
						
						
						
						
PQRS Performance Measure		Domain	Eligible Professional Performance			Peer Group Performance
			Reporting Mechanism	Number of Eligible Cases	Performance Rate	Benchmark Rate
1**	Diabetes Mellitus (DM): Hemoglobin A1c Poor Control	Clinical Process/Effectiveness	Claims	#	#.##%	#.##%
			Registry	#	#.##%	
			EHR	#	#.##%	
2	Diabetes Mellitus (DM): Low Density Lipoprotein (LDL-C) Control	Clinical Process/Effectiveness	<DYNAMIC TEXT: POPULATE MEASURE MECHANISMS IN SEPARATE ROWS>			
3	Diabetes Mellitus (DM): High Blood Pressure Control	Clinical Process/Effectiveness				
5	Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Clinical Process/Effectiveness				
6	Coronary Artery Disease (CAD): Antiplatelet Therapy	Clinical Process/Effectiveness				
7	Coronary Artery Disease (CAD): Beta-Blocker TherapyPrior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVSD) (LVEF < 40%)	Clinical Process/Effectiveness				
8	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Clinical Process/Effectiveness				
9	Major Depressive Disorder (MDD): Antidepressant Medication During Acute Phase for Patients with MDD	Clinical Process/Effectiveness				
12	Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	Clinical Process/Effectiveness				
14	Age-Related Macular Degeneration (AMD): Dilated Macular Examination	Clinical Process/Effectiveness				
18	Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy	Clinical Process/Effectiveness				
19	Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care	Clinical Process/Effectiveness				
28	Aspirin at Arrival for Acute Myocardial Infarction (AMI)	Clinical Process/Effectiveness				
31	Stroke and Stroke Rehabilitation: Deep Vein Thrombosis (DVT) Prophylaxis for Ischemic Stroke or Intracranial Hemorrhage	Clinical Process/Effectiveness				
32	Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy	Clinical Process/Effectiveness				
33	Stroke and Stroke Rehabilitation: Anticoagulant Therapy Prescribed for Atrial Fibrillation (AF) at Discharge	Clinical Process/Effectiveness				
35	Stroke and Stroke Rehabilitation: Screening for Dysphagia	Clinical Process/Effectiveness				
36	Stroke and Stroke Rehabilitation: Rehabilitation Services Ordered	Clinical Process/Effectiveness				
39	Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older	Clinical Process/Effectiveness				
40	"Osteoporosis: Management Following Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older"	Clinical Process/Effectiveness				
41	Osteoporosis: Pharmacologic Therapy for Men and Women Aged 50 Years and Older	Clinical Process/Effectiveness				
43	Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery	Clinical Process/Effectiveness				
44	Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery	Clinical Process/Effectiveness				
48	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Clinical Process/Effectiveness				
49	Urinary Incontinence: Characterization of Urinary Incontinence in Women Aged 65 Years and Older	Clinical Process/Effectiveness				
51	Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation	Clinical Process/Effectiveness				
52	Chronic Obstructive Pulmonary Disease (COPD): Bronchodilator Therapy	Clinical Process/Effectiveness				
53	Asthma: Pharmacologic Therapy for Persistent AsthmaAmbulatory Care Setting	Clinical Process/Effectiveness				Not Available
54	Emergency Medicine: 12-Lead Electrocardiogram (ECG) Performed for Non-Traumatic Chest Pain	Clinical Process/Effectiveness				
55	Emergency Medicine: 12-Lead Electrocardiogram (ECG) Performed for Syncope	Clinical Process/Effectiveness				
56	Emergency Medicine: Community-Acquired Pneumonia (CAP): Vital Signs	Clinical Process/Effectiveness				
59	Emergency Medicine: Community-Acquired Pneumonia (CAP): Empiric Antibiotic	Clinical Process/Effectiveness				
64	Asthma: Assessment of Asthma ControlAmbulatory Care Setting	Clinical Process/Effectiveness				Not Available
67	Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow	Clinical Process/Effectiveness				
68	Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy	Clinical Process/Effectiveness				
69	Hematology: Multiple Myeloma: Treatment with Bisphosphonates	Clinical Process/Effectiveness				
70	Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry	Clinical Process/Effectiveness				
71	Breast Cancer: Hormonal Therapy for Stage ICIIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer	Clinical Process/Effectiveness				
72	Colon Cancer: Chemotherapy for AJCC Stage III Colon Cancer Patients	Clinical Process/Effectiveness				
83	Hepatitis C: Testing for Chronic Hepatitis CConfirmation of Hepatitis C Viremia	Clinical Process/Effectiveness				Not Available
84	Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment	Clinical Process/Effectiveness				Not Available
85	Hepatitis C: Hepatitis C Virus (HCV) Genotype Testing Prior to Treatment	Clinical Process/Effectiveness				Not Available
86	Hepatitis C: Antiviral Treatment Prescribed	Clinical Process/Effectiveness				Not Available
87	Hepatitis C: Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Testing at Week 12 of Treatment	Clinical Process/Effectiveness				Not Available
89	Hepatitis C: Counseling Regarding Risk of Alcohol Consumption	Clinical Process/Effectiveness				
90	Hepatitis C: Counseling Regarding Use of Contraception Prior to Antiviral Therapy	Clinical Process/Effectiveness				Not Available
91	Acute Otitis Externa (AOE): Topical Therapy	Clinical Process/Effectiveness				
99	Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade	Clinical Process/Effectiveness				
100	Colorectal Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade	Clinical Process/Effectiveness				
104	Prostate Cancer: Adjuvant Hormonal Therapy for High Risk Prostate Cancer Patients	Clinical Process/Effectiveness				
106	Adult Major Depressive Disorder (MDD): Comprehensive Depression Evaluation: Diagnosis and Severity	Clinical Process/Effectiveness				
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Clinical Process/Effectiveness				
108	Rheumatoid Arthritis (RA): Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy	Clinical Process/Effectiveness				
111	Preventive Care and Screening: Pneumococcal Vaccination for Patients 65 Years and Older	Clinical Process/Effectiveness				
112	Preventive Care and Screening: Breast Cancer Screening for Women Aged 40-69	Clinical Process/Effectiveness				
113	Preventive Care and Screening: Colorectal Cancer Screening	Clinical Process/Effectiveness				
117	Diabetes Mellitus (DM): Dilated Eye Exam	Clinical Process/Effectiveness				
118	Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) TherapyDiabetes or Left Ventricular Systolic Dysfunction (LVSD) (LVEF < 40%)	Clinical Process/Effectiveness				
119	Diabetes Mellitus (DM): Medical Attention for Nephropathy	Clinical Process/Effectiveness				
121	Adult Kidney Disease: Laboratory Testing (Lipid Profile)	Clinical Process/Effectiveness				
122	Adult Kidney Disease: Blood Pressure Management	Clinical Process/Effectiveness				
123**	Adult Kidney Disease: Patients On Erythropoiesis-Stimulating Agent (ESA)Hemoglobin Level > 12.0 g/dL	Clinical Process/Effectiveness				
126	"Diabetes Mellitus (DM): Diabetic Foot and Ankle Care, Peripheral NeuropathyNeurological Evaluation"	Clinical Process/Effectiveness				
127	"Diabetes Mellitus (DM): Diabetic Foot and Ankle Care, Ulcer PreventionEvaluation of Footwear"	Clinical Process/Effectiveness				
137	Melanoma: Continuity of CareRecall System	Clinical Process/Effectiveness				
140	Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement	Clinical Process/Effectiveness				
142	Osteoarthritis (OA): Assessment for Use of Anti-Inflammatory or Analgesic Over-the-Counter (OTC) Medications	Clinical Process/Effectiveness				
149	Back Pain: Physical Exam	Clinical Process/Effectiveness				Not Available
150	Back Pain: Advice for Normal Activities	Clinical Process/Effectiveness				Not Available
151	Back Pain: Advice Against Bed Rest	Clinical Process/Effectiveness				Not Available
159	HIV/AIDS: CD4+ Cell Count or CD4+ Percentage	Clinical Process/Effectiveness				Not Available
160	HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis	Clinical Process/Effectiveness				Not Available
161	HIV/AIDS: Adolescent and Adult Patients with HIV/AIDS Who Are Prescribed Potent Antiretroviral Therapy	Clinical Process/Effectiveness				Not Available
162	HIV/AIDS: HIV RNA Control After Six Months of Potent Antiretroviral Therapy	Clinical Process/Effectiveness				Not Available
163	Diabetes Mellitus (DM): Foot Exam	Clinical Process/Effectiveness				
164**	Coronary Artery Bypass Graft (CABG): Prolonged Intubation	Clinical Process/Effectiveness				Not Available
165**	Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate	Clinical Process/Effectiveness				Not Available
166**	Coronary Artery Bypass Graft (CABG): Stroke	Clinical Process/Effectiveness				Not Available
167**	Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure	Clinical Process/Effectiveness				Not Available
168**	Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration	Clinical Process/Effectiveness				Not Available
169	Coronary Artery Bypass Graft (CABG): Antiplatelet Medications at Discharge	Clinical Process/Effectiveness				Not Available
170	Coronary Artery Bypass Graft (CABG): Beta-Blockers Administered at Discharge	Clinical Process/Effectiveness				Not Available
171	Coronary Artery Bypass Graft (CABG): Anti-Lipid Treatment at Discharge	Clinical Process/Effectiveness				Not Available
172	Hemodialysis Vascular Access Decision-Making by Surgeon to Maximize Placement of Autogenous Arterial Venous (AV) Fistula	Clinical Process/Effectiveness				
176	Rheumatoid Arthritis (RA): Tuberculosis Screening	Clinical Process/Effectiveness				
177	Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity	Clinical Process/Effectiveness				
178	Rheumatoid Arthritis (RA): Functional Status Assessment	Clinical Process/Effectiveness				
179	Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis	Clinical Process/Effectiveness				
187	Stroke and Stroke Rehabilitation: Thrombolytic Therapy	Clinical Process/Effectiveness				Not Available
191	Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	Clinical Process/Effectiveness				
194	Oncology: Cancer Stage Documented	Clinical Process/Effectiveness				
195	Radiology: Stenosis Measurement in Carotid Imaging Reports	Clinical Process/Effectiveness				
197	Coronary Artery Disease (CAD): Lipid Control	Clinical Process/Effectiveness				
198	Heart Failure (HF): Left Ventricular Ejection Fraction (LVEF) Assessment	Clinical Process/Effectiveness				
200	Heart Failure (HF): Warfarin Therapy for Patients with Atrial Fibrillation	Clinical Process/Effectiveness				
201	Ischemic Vascular Disease (IVD): Blood Pressure Management	Clinical Process/Effectiveness				
204	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	Clinical Process/Effectiveness				
205	HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia and Gonorrhea	Clinical Process/Effectiveness				Not Available
208	HIV/AIDS: Sexually Transmitted Disease Screening for Syphilis	Clinical Process/Effectiveness				Not Available
209	Functional Communication MeasureSpoken Language Comprehension for Patients with Diagnosis of Late Effects of Cerebrovascular Disease (CVD)	Clinical Process/Effectiveness				Not Available
210	Functional Communication MeasureAttention for Patients with Diagnosis of Late Effects of Cerebrovascular Disease (CVD)	Clinical Process/Effectiveness				Not Available
211	Functional Communication MeasureMemory for Patients with Diagnosis of Late Effects of Cerebrovascular Disease (CVD)	Clinical Process/Effectiveness				Not Available
212	Functional Communication MeasureMotor Speech for Patients with Diagnosis of Late Effects of Cerebrovascular Disease (CVD)	Clinical Process/Effectiveness				Not Available
213	Functional Communication MeasureReading for Patients with Diagnosis of Late Effects of Cerebrovascular Disease (CVD)	Clinical Process/Effectiveness				Not Available
214	Functional Communication MeasureSpoken Language Expression for Patients with Diagnosis of Late Effects of Cerebrovascular Disease (CVD)	Clinical Process/Effectiveness				Not Available
215	Functional Communication MeasureWriting for Patients with Diagnosis of Late Effects of Cerebrovascular Disease (CVD)	Clinical Process/Effectiveness				Not Available
216	Functional Communication MeasureSwallowing for Patients with Diagnosis of Late Effects of Cerebrovascular Disease (CVD)	Clinical Process/Effectiveness				Not Available
228	Heart Failure (HF): Left Ventricular Function (LVF) Testing	Clinical Process/Effectiveness				
231	Asthma: Tobacco Use: ScreeningAmbulatory Care Setting	Clinical Process/Effectiveness				Not Available
232	Asthma: Tobacco Use: InterventionAmbulatory Care Setting	Clinical Process/Effectiveness				Not Available
233	Thoracic Surgery: Recording of Performance Status Prior to Lung or Esophageal Cancer Resection	Clinical Process/Effectiveness				Not Available
236	Hypertension (HTN): Controlling High Blood Pressure	Clinical Process/Effectiveness				
237	Hypertension (HTN): Blood Pressure Measurement	Clinical Process/Effectiveness				
241	Ischemic Vascular Disease (IVD): Complete Lipid Panel and Low Density Lipoprotein (LDL-C) Control 	Clinical Process/Effectiveness				
242	Coronary Artery Disease (CAD): Symptom Management	Clinical Process/Effectiveness				
243	Cardiac Rehabilitation Patient Referral from an Outpatient Setting	Clinical Process/Effectiveness				Not Available
244	Hypertension (HTN): Blood Pressure Management	Clinical Process/Effectiveness				Not Available
245	Chronic Wound Care: Use of Wound Surface Culture Technique in Patients with Chronic Skin Ulcers (Overuse Measure)	Clinical Process/Effectiveness				Not Available
246	Chronic Wound Care: Use of Wet to Dry Dressings in Patients with Chronic Skin Ulcers (Overuse Measure)	Clinical Process/Effectiveness				Not Available
247	Substance Use Disorders: Counseling Regarding Psychosocial and Pharmacologic Treatment Options for Alcohol Dependence	Clinical Process/Effectiveness				Not Available
248	Substance Use Disorders: Screening for Depression Among Patients with Substance Abuse or Dependence	Clinical Process/Effectiveness				Not Available
249	Barretts Esophagus	Clinical Process/Effectiveness				
250	Radical Prostatectomy Pathology Reporting	Clinical Process/Effectiveness				
251	Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients	Clinical Process/Effectiveness				
252	Anticoagulation for Acute Pulmonary Embolus Patients	Clinical Process/Effectiveness				
254	Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain	Clinical Process/Effectiveness				Not Available
255	Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure	Clinical Process/Effectiveness				Not Available
257	Statin Therapy at Discharge after Lower Extremity Bypass (LEB)	Clinical Process/Effectiveness				Not Available
263	Preoperative Diagnosis of Breast Cancer	Clinical Process/Effectiveness				
264	Sentinel Lymph Node Biopsy for Invasive Breast Cancer	Clinical Process/Effectiveness				
266	Epilepsy: Seizure Type(s) and Current Seizure Frequency(ies)	Clinical Process/Effectiveness				
267	Epilepsy: Documentation of Etiology of Epilepsy or Epilepsy Syndrome	Clinical Process/Effectiveness				
268	Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy	Clinical Process/Effectiveness				Not Available
269	"Inflammatory Bowel Disease (IBD): Type, Anatomic Location and Activity All Documented"	Clinical Process/Effectiveness				Not Available
270	Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Sparing Therapy	Clinical Process/Effectiveness				Not Available
271	Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic InjuryBone Loss Assessment	Clinical Process/Effectiveness				Not Available
272	Inflammatory Bowel Disease (IBD): Preventive Care: Influenza Immunization	Clinical Process/Effectiveness				Not Available
273	Inflammatory Bowel Disease (IBD): Preventive Care: Pneumococcal Immunization	Clinical Process/Effectiveness				Not Available
274	Inflammatory Bowel Disease (IBD): Testing for Latent Tuberculosis (TB) Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy	Clinical Process/Effectiveness				Not Available
275	Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy	Clinical Process/Effectiveness				Not Available
276	Sleep Apnea: Assessment of Sleep Symptoms	Clinical Process/Effectiveness				Not Available
277	Sleep Apnea: Severity Assessment at Initial Diagnosis	Clinical Process/Effectiveness				Not Available
278	Sleep Apnea: Positive Airway Pressure Therapy Prescribed	Clinical Process/Effectiveness				Not Available
279	Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy	Clinical Process/Effectiveness				Not Available
281	Dementia: Cognitive Assessment	Clinical Process/Effectiveness				Not Available
282	Dementia: Functional Status Assessment	Clinical Process/Effectiveness				Not Available
283	Dementia: Neuropsychiatric Symptom Assessment	Clinical Process/Effectiveness				Not Available
284	Dementia: Management of Neuropsychiatric Symptoms	Clinical Process/Effectiveness				Not Available
285	Dementia: Screening for Depressive Symptoms	Clinical Process/Effectiveness				Not Available
287	Dementia: Counseling Regarding Risks of Driving	Clinical Process/Effectiveness				Not Available
288	Dementia: Caregiver Education and Support	Clinical Process/Effectiveness				Not Available
289	Parkinsons Disease: Annual Parkinsons Disease Diagnosis Review	Clinical Process/Effectiveness				Not Available
290	Parkinsons Disease: Psychiatric Disorders or Disturbances Assessment	Clinical Process/Effectiveness				Not Available
291	Parkinsons Disease: Cognitive Impairment or Dysfunction Assessment	Clinical Process/Effectiveness				Not Available
292	Parkinsons Disease: Querying about Sleep Disturbances	Clinical Process/Effectiveness				Not Available
293	Parkinsons Disease: Rehabilitative Therapy Options	Clinical Process/Effectiveness				Not Available
294	Parkinsons Disease: Parkinsons Disease Medical and Surgical Treatment Options Reviewed	Clinical Process/Effectiveness				Not Available
295	Hypertension (HTN): Appropriate Use of Aspirin or Other Antithrombotic Therapy	Clinical Process/Effectiveness				Not Available
296	Hypertension (HTN): Complete Lipid Profile	Clinical Process/Effectiveness				Not Available
297	Hypertension (HTN): Urine Protein Test	Clinical Process/Effectiveness				Not Available
298	Hypertension (HTN): Annual Serum Creatinine Test	Clinical Process/Effectiveness				Not Available
299	Hypertension (HTN): Diabetes Mellitus Screening Test	Clinical Process/Effectiveness				Not Available
300	Hypertension (HTN): Blood Pressure Control	Clinical Process/Effectiveness				Not Available
301	Hypertension (HTN): Low Density Lipoprotein (LDL-C) Control	Clinical Process/Effectiveness				Not Available
302	Hypertension (HTN): Dietary and Physical Activity Modifications Appropriately Prescribed	Clinical Process/Effectiveness				Not Available
303	Cataracts: Improvement in Patients Visual Function within 90 Days Following Cataract Surgery	Clinical Process/Effectiveness				Not Available
305	"Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: (a) Initiation, (b) Engagement"	Clinical Process/Effectiveness				Not Available
309	Cervical Cancer Screening	Clinical Process/Effectiveness				
311	Use of Appropriate Medications for Asthma	Clinical Process/Effectiveness				
313	Diabetes Mellitus (DM): Hemoglobin A1c Control (< 8%)	Clinical Process/Effectiveness				
316	Preventive Care and Screening: CholesterolFasting Low Density Lipoprotein (LDL) Test Performed AND Risk-Stratified Fasting LDL	Clinical Process/Effectiveness				
325	Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions	Clinical Process/Effectiveness				Not Available
327	Pediatric Kidney Disease: Adequacy of Volume Management	Clinical Process/Effectiveness				Not Available
328**	Pediatric Kidney Disease: End Stage Renal Disease (ESRD) Patients Receiving Dialysis: Hemoglobin Level < 10 g/dL	Clinical Process/Effectiveness				Not Available
50	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Patient and Family Engagement				
109	Osteoarthritis (OA): Function and Pain Assessment	Patient and Family Engagement				
143	Oncology: Medical and RadiationPain Intensity Quantified	Patient and Family Engagement				Not Available
144	Oncology: Medical and RadiationPlan of Care for Pain	Patient and Family Engagement				Not Available
304	Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery	Patient and Family Engagement				Not Available
110	Preventive Care and Screening: Influenza Immunization	Population/Public Health				
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up	Population/Public Health				
131	Pain Assessment and Follow-Up	Population/Public Health				
134	Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan	Population/Public Health				
173	Preventive Care and Screening: Unhealthy Alcohol UseScreening	Population/Public Health				
183	Hepatitis C: Hepatitis A Vaccination in Patients with Hepatitis C Virus (HCV)	Population/Public Health				
184	Hepatitis C: Hepatitis B Vaccination in Patients with Hepatitis C Virus (HCV)	Population/Public Health				
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Population/Public Health				
239	Weight Assessment and Counseling for Children and Adolescents	Population/Public Health				Not Available
240	Childhood Immunization Status	Population/Public Health				Not Available
306	Prenatal Care: Screening for Human Immunodeficiency Virus (HIV)	Population/Public Health				Not Available
308	"Smoking and Tobacco Use Cessation, Medical Assistance: a. Advising Smokers and Tobacco Users to Quit, b. Discussing Smoking and Tobacco Use Cessation Medications, c. Discussing Smoking and Tobacco Use Cessation Strategies"	Population/Public Health				
310	Chlamydia Screening for Women	Population/Public Health				Not Available
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Population/Public Health				
20	Perioperative Care: Timing of Prophylactic Parenteral AntibioticOrdering Physician	Patient Safety				
21	Perioperative Care: Selection of Prophylactic AntibioticFirst OR Second Generation Cephalosporin	Patient Safety				
22	Perioperative Care: Discontinuation of Prophylactic Parenteral Antibiotics (Non-Cardiac Procedures)	Patient Safety				
23	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Patient Safety				
30	Perioperative Care: Timely Administration of Prophylactic Parenteral Antibiotics	Patient Safety				
45	Discontinuation of Prophylactic Antibiotics (Cardiac Procedures)	Patient Safety				
46	Medication Reconciliation: Reconciliation After Discharge from an Inpatient Facility	Patient Safety				
76	Prevention of Catheter-Related Bloodstream Infections (CRBSI): Central Venous Catheter (CVC) Insertion Protocol	Patient Safety				
130	Documentation of Current Medications in the Medical Record	Patient Safety				
145	Radiology: Exposure Time Reported for Procedures Using Fluoroscopy	Patient Safety				
154	Falls: Risk Assessment	Patient Safety				
156	Oncology: Radiation Dose Limits to Normal Tissues	Patient Safety				
157	Thoracic Surgery: Recording of Clinical Stage Prior to Lung Cancer or Esophageal Cancer Resection	Patient Safety				Not Available
181	Elder Maltreatment Screen and Follow-Up Plan	Patient Safety				
192**	Cataracts: Complications Within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures	Patient Safety				
193	Perioperative Temperature Management	Patient Safety				
234	"Thoracic Surgery: Pulmonary Function Tests Before Major Anatomic Lung Resection (Pneumonectomy, Lobectomy or Formal Segmentectomy)"	Patient Safety				Not Available
238**	Drugs to Be Avoided in the Elderly	Patient Safety				
262	Image Confirmation of Successful Excision of Image-Localized Breast Lesion	Patient Safety				
286	Dementia: Counseling Regarding Safety Concerns	Patient Safety				Not Available
307	Prenatal Care: Anti-D Immune Globulin	Patient Safety				Not Available
326	Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy	Patient Safety				Not Available
24	"Osteoporosis: Communication with the Physician Managing Ongoing Care Post-Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older"	Care Coordination				
47	Advance Care Plan	Care Coordination				
81	Adult Kidney Disease: Hemodialysis Adequacy: Solute	Care Coordination				Not Available
82	Adult Kidney Disease: Peritoneal Dialysis Adequacy: Solute	Care Coordination				Not Available
93	Acute Otitis Externa (AOE): Systemic Antimicrobial TherapyAvoidance of Inappropriate Use	Care Coordination				
138	Melanoma: Coordination of Care	Care Coordination				
141	Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care	Care Coordination				
147	Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy	Care Coordination				
155	Falls: Plan of Care	Care Coordination				
180	Rheumatoid Arthritis (RA): Glucocorticoid Management	Care Coordination				
182	Functional Outcome Assessment	Care Coordination				
185	Endoscopy & Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous PolypsAvoidance of Inappropriate Use	Care Coordination				
188	Referral for Otologic Evaluation for Patients with Congenital or Traumatic Deformity of the Ear	Care Coordination				Not Available
217	Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Knee Impairments	Care Coordination				Not Available
218	Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Hip Impairments	Care Coordination				Not Available
219	"Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lower Leg, Foot or Ankle Impairments"	Care Coordination				Not Available
220	Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lumbar Spine Impairments	Care Coordination				
221	Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Shoulder Impairments	Care Coordination				Not Available
222	"Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Elbow, Wrist or Hand Impairments"	Care Coordination				Not Available
223	"Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Neck, Cranium, Mandible, Thoracic Spine, Ribs or Other General Orthopedic Impairments"	Care Coordination				Not Available
225	Radiology: Reminder System for Mammograms	Care Coordination				
256	Surveillance after Endovascular Abdominal Aortic Aneurysm Repair (EVAR)	Care Coordination				Not Available
258	Rate of Open Repair of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7)	Care Coordination				Not Available
259	Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2)	Care Coordination				Not Available
260	Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients without Major Complications (Discharged to Home by Post-Operative Day #2)	Care Coordination				Not Available
261	Referral to Otologic Evaluation for Patients with Acute or Chronic Dizziness	Care Coordination				Not Available
265	Biopsy Follow-Up	Care Coordination				
280	Dementia: Staging of Dementia	Care Coordination				Not Available
320	Endoscopy/Polyp Surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients	Care Coordination				Not Available
321	"Participation by a Hospital, Physician or Other Clinician in a Systematic Clinical Database Registry that Includes Consensus Endorsed Quality"	Care Coordination				Not Available
65	Appropriate Treatment for Children with Upper Respiratory Infection (URI)	Efficient Use of Healthcare Resources				
66	Appropriate Testing for Children with Pharyngitis	Efficient Use of Healthcare Resources				Not Available
102	Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	Efficient Use of Healthcare Resources				Not Available
116	Antibiotic Treatment for Adults with Acute Bronchitis: Avoidance of Inappropriate Use	Efficient Use of Healthcare Resources				Not Available
146**	Radiology: Inappropriate Use of Probably Benign Assessment Category in Mammography Screening	Efficient Use of Healthcare Resources				
148	Back Pain: Initial Visit	Efficient Use of Healthcare Resources				Not Available
224	Melanoma: Overutilization of Imaging Studies in Melanoma	Efficient Use of Healthcare Resources				
312	Low Back Pain: Use of Imaging Studies	Efficient Use of Healthcare Resources				
322**	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients	Efficient Use of Healthcare Resources				Not Available
323**	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI)	Efficient Use of Healthcare Resources				Not Available
324**	"Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low Risk Patients"	Efficient Use of Healthcare Resources				Not Available
						
"**Indicates an inverse measure, for which lower performance rates indicate better performance."						
 Crosses indicate terms to be defined through the hover-over function.						
