Janis Lynn Holt

Morristown Hamblen Hospital Association NPI1285667030

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 127
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_012_overall Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 94 94 4 100 EHR
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 99 103 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 100 537 5 85 EHR
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 86 28 4 100 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 87 778 4 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 95 245 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 2486 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 618 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 1331 5 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 9 56 1 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 618 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 48 114 3 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 82 1338 4 100 EHR
QCDR_EC_IRIS2_overall Glaucoma Intraocular Pressure Reduction 61 67 3 92 QCDR