Champ L. Baker

Jack Hughston Memorial Hospital NPI1912128448

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

91.27 out of 100

Score Breakdown

Quality Category Score 84.20
PI Category Score 93

 

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_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_2 Tobacco use
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%) 100 23 EHR
MIPS_EC_047_overall Advance Care Plan 95 518 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 945 1 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 1 1020 1 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 18 1878 1 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 23 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 51 3258 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 9 1154 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 8 1154 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 59 27 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 493 5 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 90 189 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 189 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 189 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 10 2977 1 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 11 1063 1 88 EHR
PI_EC_EP_1 e-Prescribing 96 705 3 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 82 2158 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting