Megan E Abler

Family Ascension Ne Wisconsin - St Elizabeth Campus NPI1669952297

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 89.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 20
Source of Scores: group

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_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 100 24 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 26 441 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 48 800 3 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 47 441 2 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 51 218 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 83 441 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 75 20 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 2125 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 50 140 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 54 631 3 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 882 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 7 260 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 88 882 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 73 384 EHR
MIPS_EC_309_overall Cervical Cancer Screening 56 323 3 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 52 1130 4 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 64 260 3 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 19 81 1 88 EHR
PI_EC_EP_1 e-Prescribing 97 689 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 84 513 4 99 EHR
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting