Dr. Michael D Gaines

East Georgia Regional Medical Center NPI1942321427

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.63 out of 100

Score Breakdown

Quality Category Score 82.32
PI Category Score 99

 

IA Category Score 40
Cost Category Score 0
Total Patients: 59
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_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_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 12 799 1 85 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 43 473 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 689 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 73 22 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 61 266 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 581 5 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 58 266 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 0 29 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 28 996 2 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 17 187 1 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 98 892 4 100 EHR
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_LVPP_1 e-Prescribing Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 70 2569 3 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis