John Byrd

Northwest Florida Community Hospital NPI1073932828

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

82.52 out of 100

Score Breakdown

Quality Category Score 70.04
PI Category Score 85

 

IA Category Score 40
Cost Category Score 0
Total Patients: 55
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_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 67 206 EHR
MIPS_EC_047_overall Advance Care Plan 5 675 1 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 49 667 3 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 6 206 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 17 1020 1 98 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 607 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 19 1225 2 64 EHR
PI_EC_EP_1 e-Prescribing 98 12758 4 100 EHR
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 65 89 2 100 REG
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 38 1294 2 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting