Mr. James Patrick Adair II

Sacred Heart Hospital NPI1265425243

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 95.61
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 93
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_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%) 33 117 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 41 552 2 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 48 308 3 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 29 782 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 1053 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71 31 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 44 684 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 43 684 EHR
MIPS_EC_309_overall Cervical Cancer Screening 27 166 2 98 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 48 393 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0 508 1 64 EHR
MIPS_EC_376_overall Functional Status Assessment for Total Hip Replacement 0 43 EHR
PI_EC_EP_1 e-Prescribing 97 440 4 100 EHR
MIPS_EC_375_overall Functional Status Assessment for Total Knee Replacement 0 78 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 72 1117 3 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis