Mrs. Dolores Maria Thomas

Family Cookeville Regional Medical Center NPI1932536125

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_BMH_4 Depression screening
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_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 33 42 EHR
MIPS_EC_047_overall Advance Care Plan 10 164 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 40 250 2 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 81 42 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 46 229 3 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 31 147 2 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 17 42 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 624 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 26 599 2 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 2 566 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 37 43 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 389 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84 389 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 157 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 75 138 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 35 479 3 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 9 157 1 100 EHR
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 88 99 1 100 REG
MIPS_EC_309_overall Cervical Cancer Screening 9 202 1 98 EHR
PI_EC_EP_1 e-Prescribing 100 951 5 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 67 937 3 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting