Dr. Mary Sara Baker

Tidelands Waccamaw Community Hospital NPI1134431935

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.80 out of 100

Score Breakdown

Quality Category Score 89.18
PI Category Score 88.67

 

IA Category Score 40
Cost Category Score 0
Total Patients: 133
Source of Scores: group, individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PCMH Electronic submission of Patient Centered Medical Home accreditation
MIPS_EC_047_overall Advance Care Plan 50 546 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 88 489 4 99 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 80 317 4 100 REG
MIPS_EC_112_overall Breast Cancer Screening 80 397 4 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 74 92 3 100 REG
PI_EC_EP_1 e-Prescribing 100 1625 5 100 REG
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 20 172 1 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 745 4 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis