Lacey R Estes

Montrose Memorial Hospital NPI1053826941

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_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_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 68 439 4 85 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 20 128 EHR
MIPS_EC_112_overall Breast Cancer Screening 75 164 4 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 64 128 3 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 128 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 56 323 3 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 2097 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 68 697 3 96 EHR
MIPS_EC_309_overall Cervical Cancer Screening 53 388 3 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 33 1587 3 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 38 286 2 88 EHR