Dr. Alan Bruce Cohen

Grand Strand Regional Medical Center NPI1265461842

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 99.51
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 165
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_2 Tobacco use
IA_EC_BMH_4 Depression screening
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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 63 259 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 52 1233 3 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 44 1105 2 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 22 521 1 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 15 259 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 33 1681 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 3716 5 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82 94 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 18 1396 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 67 1329 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 65 1327 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 3 1281 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 73 1097 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 33 221 2 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 27 1281 2 100 EHR