Ms. Kimberly Leah Collymore

Family Delta County Memorial Hospital NPI1912110305

Performance

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_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 30 105 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 60 1 89 EHR
MIPS_EC_112_overall Breast Cancer Screening 59 175 3 93 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 57 487 3 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 54 322 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 95 105 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 27 898 2 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 68 105 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94 1901 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 65 132 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 61 728 3 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 765 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85 765 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 60 224 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 9 118 3 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 50 419 3 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 31 1411 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 79 118 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 36 216 2 88 EHR