Mr. Francis Alouysious Fraser

Byrd Regional Hospital NPI1164457198

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

67.02 out of 100

Score Breakdown

Quality Category Score 96.46
PI Category Score 86.86

 

IA Category Score 30
Cost Category Score 0
Total Patients: 116
Source of Scores: apm, group

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_BMH_2 Tobacco use
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_21 Implementation of fall screening and assessment programs
MIPS_EC_047_overall Advance Care Plan 64 297 3 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 77 96 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 18 768 1 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 45 22 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 82 1832 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 15 630 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 13 630 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 24 1271 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 34 77 2 88 EHR
PI_EC_EP_1 e-Prescribing 96 1925 3 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 50 846 3 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis