Dirk Dolbeare

Wray Community District Hospital NPI1245448984

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

89.03 out of 100

Score Breakdown

Quality Category Score 86.25
PI Category Score 77.93

 

IA Category Score 40
Cost Category Score 0
Total Patients: 55
Source of Scores: apm, 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_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
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
MIPS_EC_047_overall Advance Care Plan 78 441 4 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 53 1098 3 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 85 1725 3 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 62 29 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76 790 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 74 790 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 56 27 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 28 1331 2 64 EHR
PI_EC_EP_1 e-Prescribing 81 241 1 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 37 341 2 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
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 94 2046 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis