James M. Smith

Morehouse General Hospital NPI1225065709

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

86.88 out of 100

Score Breakdown

Quality Category Score 81.10
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 96
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 30 147 EHR
MIPS_EC_112_overall Breast Cancer Screening 57 275 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 78 147 3 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 38 646 2 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 91 2556 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 62 560 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 53 517 3 100 EHR