Edward Alan Lewis

Pain Medicine Margaret R Pardee Memorial Hospital NPI1043233299

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.81 out of 100

Score Breakdown

Quality Category Score 90.27
PI Category Score 94.79

 

IA Category Score 40
Cost Category Score 0
Total Patients: 42
Source of Scores: group, apm

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_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_112_overall Breast Cancer Screening 19 21 1 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25 53 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 76 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 56 25 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 31 5 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 19 31 1 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 81 109 4 99 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting