| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | Claims, Electronic Health Record, Cms Web Interface, Registry |
| 039 | Screening for Osteoporosis for Women Aged 65-85 Years of Age | Claims, Registry |
| 117 | Diabetes: Eye Exam | Registry, Electronic Health Record |
| 118 | Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF ≤ 40%) | Registry |
| 126 | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | Registry |
| 130 | Documentation of Current Medications in the Medical Record | Registry, Electronic Health Record |
| 134 | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | Claims, Electronic Health Record, Cms Web Interface, Registry |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | Claims, Electronic Health Record, Cms Web Interface, Registry |
| 236 | Controlling High Blood Pressure | Claims, Electronic Health Record, Cms Web Interface, Registry |
| 374 | Closing the Referral Loop: Receipt of Specialist Report | Electronic Health Record, Registry |
| 418 | Osteoporosis Management in Women Who Had a Fracture | Claims, Registry |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | Electronic Health Record, Cms Web Interface, Registry |
| 462 | Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy | Electronic Health Record |
| 487 | Screening for Social Drivers of Health | Registry |
| 488 | Kidney Health Evaluation | Registry, Electronic Health Record |
| 493 | Adult Immunization Status | Registry |
| 498 | Connection to Community Service Provider | Registry |
| 503 | Gains in Patient Activation Measure (PAM) Scores at 12 Months | Registry |
| 001SSP | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | Registry |
| 134SSP | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | Registry |
| 236SSP | Controlling High Blood Pressure | Registry |
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