Dr. David Dewitt Reynolds

Gastroenterology Wayne Memorial Hospital NPI1003829474

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.46 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 68

 

IA Category Score 40
Cost Category Score 0
Total Patients: 80
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_BE_22 Improved Practices that Engage Patients Pre-Visit
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 79 86 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 86 454 4 100 CLM
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 79 410 4 100 CLM
MIPS_EC_113_overall Colorectal Cancer Screening 97 1048 5 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 3 554 1 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 35 1640 2 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 86 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 70 86 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 93 2996 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 39 76 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 801 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1699 1 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 83 801 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 1021 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 57 262 EHR
MIPS_EC_309_overall Cervical Cancer Screening 0 356 1 98 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 39 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 5 39 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 39 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 79 43 4 88 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 100 992 5 100 CLM
MIPS_EC_379_overall Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists 0 53 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 1021 1 100 EHR
PI_EC_EP_1 e-Prescribing 98 1430 4 100 ATT
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 19 702 1 100 ATT
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 67 2008 3 100 ATT
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis