Lester S. Shoap

Cardiovascular Disease Winchester Hospital NPI1730158684

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 97.23
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 130
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 40 164 EHR
MIPS_EC_112_overall Breast Cancer Screening 43 267 2 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 86 164 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 87 2540 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 75 645 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 926 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 21 151 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 10 926 1 100 EHR