Mrs. Janelle Denise Reifschneider

Box Butte General Hospital NPI1568553543

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.86 out of 100

Score Breakdown

Quality Category Score 94.19
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 120
Source of Scores: group

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_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
IA_EC_PM_7 Use of QCDR for feedback reports that incorporate population health
IA_EC_PSPA_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
IA_EC_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements
MIPS_EC_424_overall Perioperative Temperature Management 100 73 REG
MIPS_EC_430_overall Prevention of Post-Operative Nausea and Vomiting (PONV) Combination Therapy 100 23 REG
QCDR_EC_AQI62_overall Obstructive Sleep Apnea: Patient Education 100 88 QCDR