Dr. Mary Elizabeth Ross

Tidelands Waccamaw Community Hospital NPI1346446499

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.55 out of 100

Score Breakdown

Quality Category Score 89.18
PI Category Score 88

 

IA Category Score 40
Cost Category Score 0
Total Patients: 181
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 50 656 3 100 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 84 382 4 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 88 598 4 99 REG
MIPS_EC_112_overall Breast Cancer Screening 85 416 4 100 REG
MIPS_EC_118_overall Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) 60 20 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 71 102 3 100 REG
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 18 249 1 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_EP_1 e-Prescribing 99 1636 4 100 REG
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 95 845 4 100 REG
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis