John Mark Vermillion

Trauma Surgery Baptist Medical Center South NPI1659454254

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 92.63
PI Category Score 95

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_3 Promote Use of Patient-Reported Outcome Tools
IA_EC_BMH_4 Depression screening
IA_EC_BMH_2 Tobacco use
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 33 30 EHR
MIPS_EC_112_overall Breast Cancer Screening 74 46 4 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 37 91 2 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 97 30 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 26 46 2 98 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 63 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 100 66 5 100 EHR
PI_EC_EP_1 e-Prescribing 100 33 5 100 ATT
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 88 168 4 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis