Aedra D. Wenger Andrade

Rehoboth Mckinley Christian Health Care Services NPI1164435673

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 56
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_4 Depression screening
IA_EC_BMH_2 Tobacco use
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 38 202 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 71 441 4 85 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 125 1 89 EHR
MIPS_EC_112_overall Breast Cancer Screening 57 305 3 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 29 202 2 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 92 202 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 63 478 3 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 44 805 2 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 72 626 4 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 65 85 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 95 1974 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 765 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 78 355 EHR
MIPS_EC_309_overall Cervical Cancer Screening 58 267 3 98 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92 765 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 371 3 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 46 775 3 64 EHR
MIPS_EC_370_18+ Depression Remission at Twelve Months 10 20 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 17 462 1 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 94 371 4 100 EHR