James Dixon Brown

Cardiovascular Disease Winchester Medical Center NPI1255394649

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

98.56 out of 100

Score Breakdown

Quality Category Score 99.04
PI Category Score 78.33

 

IA Category Score 40
Cost Category Score 0
Total Patients: 159
Source of Scores: group, individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 41 131 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 85 40 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 66 612 4 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 72 578 3 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 53 144 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 47 422 3 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 17 131 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 92 131 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1131 5 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 35 26 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 242 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 633 1 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 242 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 6 578 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 18 78 1 98 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 550 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 34 221 3 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 83 578 4 100 EHR
MIPS_EC_472_overall Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 0 45 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 12 281 1 100 ATT
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 2 297 1 88 EHR
MIPS_EC_475_overall HIV Screening 14 297 2 33 EHR
PI_EC_EP_1 e-Prescribing 98 853 4 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 382 5 100 ATT
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis