Dr. Joe Frank Smith

Flowers Hospital NPI1760444608

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.24 out of 100

Score Breakdown

Quality Category Score 86.62
PI Category Score 99.63

 

IA Category Score 40
Cost Category Score 0
Total Patients: 84
Source of Scores: apm

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
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_CC_12 Care coordination agreements that promote improvements in patient tracking across settings
IA_EC_PSPA_10 Completion of training and receipt of approved waiver for provision opioid medication-assisted treatments
IA_EC_EPA_2 Use of telehealth services that expand practice access
MIPS_EC_047_overall Advance Care Plan 0 801 1 100 REG
MIPS_EC_093_overall Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy Avoidance of Inappropriate Use 85 106 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 2 3979 1 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 56 1 100 REG
MIPS_EC_419_overall Overuse of Imaging for the Evaluation of Primary Headache 2 59 4 100 REG
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 69 113 2 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 94 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_EP_1 e-Prescribing 87 4521 1 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 18 3737 1 100 REG
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement
PI_EC_PPHI_1 Security Risk Analysis