Dr. Alyssa Bishop Findley

MOHS-Micrographic Surgery Sturdy Memorial Hospital NPI1437316676

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

80 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 95
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_047_overall Advance Care Plan 100 129 5 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 100 103 5 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 96 97 4 99 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 244 5 100 REG
MIPS_EC_138_overall Melanoma: Coordination of Care 100 21 REG
MIPS_EC_137_overall Melanoma: Continuity of Care Recall System 100 24 REG
MIPS_EC_358_overall Patient-Centered Surgical Risk Assessment and Communication 100 237 5 100 REG