Ms. Ginger W Mcdougal

Acute Care Baptist Medical Center South NPI1699077834

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.88 out of 100

Score Breakdown

Quality Category Score 91.53
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 12
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_3 Promote Use of Patient-Reported Outcome Tools
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 45 31 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 48 58 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 100 31 5 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 52 33 3 93 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 57 81 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 98 42 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 37 30 2 98 EHR
PI_EC_EP_1 e-Prescribing 94 94 3 100 ATT
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 96 339 4 100 ATT
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis