Letitia Lincecum

Family Christus St Frances Cabrini Hospital NPI1346655289

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_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 36 203 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 17 1059 1 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 35 685 2 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 43 405 2 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 2 203 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 68 203 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 19 1696 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2192 5 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54 54 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 13 1046 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 19 1334 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 15 1046 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 49 720 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 225 3 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 28 778 2 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 10 225 1 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 1 292 1 88 EHR