Ms. Jennifer Kay Foster

Yoakum Community Hospital NPI1093859951

Performance

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_4 Depression screening
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 5 22 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_047_overall Advance Care Plan 98 91 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 62 90 3 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 72 61 4 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 73 41 4 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 59 22 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 157 5 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 82 22 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 44 68 2 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 97 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 97 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 54 72 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 27 44 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 29 86 2 100 EHR
PI_EC_EP_1 e-Prescribing 99 1222 4 100 ATT
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 84 659 4 100 ATT
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 46 50 2 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4_MULTI Public Health Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_2_EX_3 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis