Marlana Perkins Hedgepeth

NPI1265534648

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.21 out of 100

Score Breakdown

Quality Category Score 82.14
PI Category Score 92

 

IA Category Score 40
Cost Category Score 0
Total Patients: 78
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_BMH_4 Depression screening
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_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 26 329 EHR
MIPS_EC_047_overall Advance Care Plan 0 406 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 12 1988 1 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 16 965 1 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 18 512 1 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 4 329 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 78 329 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 82 7481 3 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 16 373 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 50 852 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 24 217 2 88 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 8 5126 1 64 EHR
PI_EC_EP_1 e-Prescribing 97 4719 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
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_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 54 3429 3 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis