Brandi Greeson

Family Decatur Morgan Hospital - Decatur Campus NPI1982169470

Performance

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_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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 19 227 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 200 1 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 6 738 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 22 263 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 9 470 1 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 1 227 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 92 227 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 89 1958 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 701 1 96 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 19 938 1 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 752 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 11 247 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 50 568 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 752 EHR
MIPS_EC_309_overall Cervical Cancer Screening 9 364 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 25 751 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 247 1 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 11 331 1 88 EHR