Mark C. Gillespy Investigator

Orthopaedic Surgery of the Spine Halifax Health Medical Center NPI1073592606

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 97.44
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 95
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_2 Tobacco use
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 86 71 EHR
MIPS_EC_047_overall Advance Care Plan 99 1215 4 100 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 71 516 3 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 62 1952 3 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 86 71 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81 113 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 3365 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 1395 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 1395 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 1180 5 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 30 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 63 441 EHR
PI_EC_EP_1 e-Prescribing 97 658 4 100 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 3 30 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 3 30 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 21 3043 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 14 832 1 88 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 5 1180 1 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
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 80 2067 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting