Dr. Kristen Blackburn Carr

Grand Strand Regional Medical Center NPI1245466960

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 170
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%) 11 294 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 64 1025 4 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 91 878 4 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 10 294 1 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 70 591 4 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 27 1244 2 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 43 86 2 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 29 894 2 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85 1172 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81 1172 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 77 778 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 80 820 4 100 EHR