Janice D Roy

Winchester Medical Center NPI1407212541

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.88 out of 100

Score Breakdown

Quality Category Score 98.25
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 251
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%) 41 147 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 78 36 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 77 578 4 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 67 671 4 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 14 147 1 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 47 217 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 47 429 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 147 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1132 5 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 3 669 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 178 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 60 566 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 9 578 3 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 14 110 1 98 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 178 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 87 578 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 2 153 1 88 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 22 272 2 64 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
MIPS_EC_475_overall HIV Screening 18 342 3 33 EHR