Alfred Ainsley Durham

Lewisgale Medical Center NPI1306841887

Performance

Public Reporting for Performance Scores

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Final MIPS Score

99.71 out of 100

Score Breakdown

Quality Category Score 96.6
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 138
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
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%) 34 169 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 77 688 4 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 88 169 4 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 38 394 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 43 746 2 92 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 625 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 625 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 88 4 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 37 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 24 37 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 22 37 EHR
MIPS_EC_309_overall Cervical Cancer Screening 32 318 2 98 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 58 503 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 92 762 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 90 136 5 88 EHR