Dr. Eric Scott Lippman

St John's Episcopal Hospital At South Shore NPI1891722765

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

86.67 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 43
Source of Scores: group, individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_2 Tobacco use
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 75 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 58 230 3 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 90 148 4 93 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 57 234 3 85 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25 545 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 83 1400 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 58 178 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 230 5 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 80 230 4 100 EHR
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_EP_1 e-Prescribing 99 170 4 100 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 91 225 4 99 EHR