Marcia H Ballard

Family Firsthealth Moore Regional Hospital NPI1558365403

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 91

 

IA Category Score 40
Cost Category Score 0
Total Patients: 55
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_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_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%) 16 211 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 64 940 4 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 85 414 4 93 EHR
MIPS_EC_047_overall Advance Care Plan 97 374 4 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 80 614 4 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 33 211 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 2894 4 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 13 365 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 89 589 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 52 82 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 48 82 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 44 365 3 88 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 72 82 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 48 1168 4 64 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 84 365 4 100 EHR
PI_EC_EP_1 e-Prescribing 99 8959 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 53 1241 3 99 EHR
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting