Christa K. Dowell

Family Breckinridge Memorial Hospital NPI1841509601

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

27.28 out of 100

Score Breakdown

Quality Category Score 0
PI Category Score 72

 

IA Category Score 0
Cost Category Score 0
Total Patients: 0
Source of Scores: group

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_BMH_4 Depression screening
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
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%) 17 187 EHR
MIPS_EC_047_overall Advance Care Plan 60 196 3 100 REG
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 178 1 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 29 652 2 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 22 187 1 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 72 235 4 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 58 442 3 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 14 832 1 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 79 187 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 3021 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 14 495 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76 50 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 17 728 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 16 728 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 83 396 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 14 184 2 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 26 1497 2 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 19 366 1 98 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 19 580 1 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 39 184 2 100 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 10 1078 1 79 EHR
PI_EC_EP_1 e-Prescribing 99 13289 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 992 5 99 EHR
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_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis