Amy Rachelle Barger Stevens

University Health System, Inc NPI1831156348

Performance

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_2 Tobacco use
IA_EC_EPA_2 Use of telehealth services that expand practice access
IA_EC_PM_2 Anticoagulant Management Improvements
IA_EC_PM_21 Advance Care Planning
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 23 30 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 38 146 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 70 74 4 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 83 30 4 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 43 30 2 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 25 110 2 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 81 214 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 74 472 2 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 105 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 78 69 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 3 67 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 105 EHR
MIPS_EC_309_overall Cervical Cancer Screening 31 109 2 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 75 67 4 100 EHR
PI_EC_EP_1 e-Prescribing 96 1136 3 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_EX_3 Immunization Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 77 292 4 99 EHR
PI_EC_PHCDRR_5_EX_3 Clinical Data Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis