Heather Michelle Ball

Lewisgale Medical Center NPI1063661049

Performance

Public Reporting for Performance Scores

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Final MIPS Score

99.94 out of 100

Score Breakdown

Quality Category Score 94.30
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 44
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
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 33 212 EHR
MIPS_EC_066_overall Appropriate Testing for Pharyngitis 86 43 4 95 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 53 624 3 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 51 389 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 93 212 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 68 576 EHR
MIPS_EC_309_overall Cervical Cancer Screening 39 468 2 98 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 62 434 3 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 84 382 4 100 EHR
PI_EC_EP_1 e-Prescribing 98 2166 4 100 EHR
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 99 415 5 98 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 457 5 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis