Mr. George L Holmes III

Tristar Southern Hills Medical Center NPI1477548154

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 96
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 78 23 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 13 144 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 72 786 4 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 64 308 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 66 144 3 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 81 686 4 92 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 1053 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 70 63 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 1053 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 74 499 EHR
MIPS_EC_309_overall Cervical Cancer Screening 35 185 2 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 85 757 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 78 425 4 88 EHR