Joseph S Krueger

Henry County Hospital, Inc NPI1134158553

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

83.01 out of 100

Score Breakdown

Quality Category Score 62.03
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 39
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 37 93 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 79 578 4 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 35 151 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 44 377 2 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 78 2206 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 705 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 699 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 36 36 2 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 21 703 2 64 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 96 1038 4 100 ATT
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 96 186 4 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis