Emily Marciniak Rooks

Tanner Medical Center - Carrollton NPI1619144722

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.80 out of 100

Score Breakdown

Quality Category Score 92.74
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 31
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PCMH Electronic submission of Patient Centered Medical Home accreditation
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 18 511 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 6 2413 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 73 797 4 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 90 511 4 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 511 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 57 1195 3 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 81 2639 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 5744 5 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1804 1 96 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 60 1392 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 18 866 2 100 EHR
MIPS_EC_310_overall Chlamydia Screening for Women 40 93 EHR
MIPS_EC_309_overall Cervical Cancer Screening 53 1232 3 98 EHR
PI_EC_EP_1 e-Prescribing 97 16322 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
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 100 1701 5 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis