Mrs. Kimberly Rae Brandenburg

Family Genoa Community Hospital NPI1740842640

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

68.17 out of 100

Score Breakdown

Quality Category Score 91.18
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 13
Source of Scores: group

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_4 Depression screening
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
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 30 33 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 45 199 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 51 39 3 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 24 33 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 48 80 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 76 33 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 18 232 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 91 463 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 30 192 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 8 228 1 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 26 192 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 20 65 1 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 54 81 EHR
MIPS_EC_309_overall Cervical Cancer Screening 21 103 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 65 1 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 27 93 2 88 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 22 290 2 64 EHR