Emily F Dunn

Radiation Oncology Sacred Heart Medical Center - Riverbend NPI1780902783

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 97.66
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 38
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_21 Advance Care Planning
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_047_overall Advance Care Plan 61 231 3 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 44 388 2 98 EHR
MIPS_EC_143_overall Oncology: Medical and Radiation Pain Intensity Quantified 98 888 4 100 EHR
MIPS_EC_144_overall Oncology: Medical and Radiation - Plan of Care for Pain 99 353 4 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 632 4 100 EHR
PI_EC_EP_1 e-Prescribing 100 88 5 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 212 5 100 REG
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_1 Immunization Registry Reporting
QCDR_EC_PIMSH4_overall Oncology: Patient-reported pain improvement 53 78 QCDR
PI_EC_PPHI_1 Security Risk Analysis
QCDR_EC_PIMSH1_overall Oncology: Advance Care Planning in metastatic cancer patients 26 57 2 75 QCDR