Jenna Leigh Dismore Wrinkles

Pain Medicine Baptist Health Hardin NPI1780909952

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

74.84 out of 100

Score Breakdown

Quality Category Score 46
PI Category Score 97

 

IA Category Score 40
Cost Category Score 0
Total Patients: 292
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_047_overall Advance Care Plan 1 1588 1 100 REG
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 165 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 165 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 1 2048 1 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 19 2991 1 98 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 1 456 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 1 2667 1 64 EHR
PI_EC_EP_1 e-Prescribing 96 436 3 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 67 4900 3 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis