Heather L Irving

Family NPI1598199770

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

19 out of 100

Score Breakdown

Quality Category Score 0
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 13
Source of Scores: 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_2 Tobacco use
IA_EC_BMH_4 Depression screening
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_18 Measurement and Improvement at the Practice and Panel Level
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%) 76 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 29 501 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 54 140 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 56 241 3 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 43 89 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 1911 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 53 119 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 503 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 88 502 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 11 1057 1 64 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 98 2887 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 52 907 3 99 EHR
PI_EC_PPHI_1 Security Risk Analysis