Dr. Julie Phillips Weber

Mercy Hospital Jefferson NPI1063674513

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 30
Cost Category Score 0
Total Patients: 47
Source of Scores: apm, individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 64 233 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 21 574 2 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 57 347 3 98 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 44 679 2 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 695 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85 158 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 695 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 694 5 100 EHR
QCDR_EC_CDR5_overall Adequate Compression at each visit for Patients with VLUs 56 1117 3 96 QCDR
QCDR_EC_USWR23_overall Non Invasive Arterial Assessment of patients with lower extremity wounds or ulcers for determination of healing potential 79 29 4 91 QCDR