Kari L Galyen

Faith Regional Health Services NPI1134112832

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.81 out of 100

Score Breakdown

Quality Category Score 94.50
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 44
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_BMH_4 Depression screening
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
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 37 131 EHR
MIPS_EC_047_overall Advance Care Plan 78 421 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 28 734 2 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 77 131 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 14 1681 1 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 42 411 2 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 21 131 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 41 713 2 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 89 2009 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 13 97 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 61 1192 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 1 1619 1 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54 1192 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 59 423 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 7 403 3 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 13 641 1 98 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 57 396 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 2 396 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 5 396 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 4 403 1 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 15 1607 1 64 EHR
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 6 108 4 100 REG