Larry W Kelly

Tidelands Waccamaw Community Hospital NPI1194727628

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.76 out of 100

Score Breakdown

Quality Category Score 89.18
PI Category Score 88.33

 

IA Category Score 40
Cost Category Score 0
Total Patients: 201
Source of Scores: group, individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PCMH Electronic submission of Patient Centered Medical Home accreditation
MIPS_EC_047_overall Advance Care Plan 48 541 2 100 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 84 257 4 100 REG
MIPS_EC_112_overall Breast Cancer Screening 81 233 4 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 90 501 4 99 REG
MIPS_EC_118_overall Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) 74 27 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 90 4 100 REG
PI_EC_EP_1 e-Prescribing 98 1436 4 100 REG
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 21 136 1 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 93 769 4 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis