Heather Renee Capps

NPI1558793190

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

91.41 out of 100

Score Breakdown

Quality Category Score 87.18
PI Category Score 88

 

IA Category Score 40
Cost Category Score 0
Total Patients: 249
Source of Scores: individual

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_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_2 Use of telehealth services that expand practice access
MIPS_EC_047_overall Advance Care Plan 21 1162 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 63 1834 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 73 972 3 99 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 80 4075 2 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 1 2374 1 100 REG
MIPS_EC_137_overall Melanoma: Continuity of Care Recall System 12 151 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81 96 4 100 REG
MIPS_EC_265_overall Biopsy Follow-Up 0 458 REG
MIPS_EC_410_overall Psoriasis: Clinical Response to Systemic Medications 43 30 2 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 97 155 REG
MIPS_EC_337_overall Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis on a Biological Immune Response Modifier 10 41 REG
PI_EC_EP_1 e-Prescribing 99 4605 4 100 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 25 1156 2 100 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 24 1156 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 72 2668 3 100 REG
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis