Myanandi Than

Bartlett Regional Hospital NPI1356426522

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

98.06 out of 100

Score Breakdown

Quality Category Score 92.63
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 108
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 15 115 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 53 334 3 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 26 481 2 85 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 31 820 2 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 115 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 95 1849 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 38 56 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 47 407 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 760 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 574 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 384 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 574 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 12 1665 1 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 384 1 100 EHR
PI_EC_EP_1 e-Prescribing 95 965 3 100 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
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 97 356 4 99 EHR
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion