Mrs. Natalie Bessom

Hamilton Medical Center NPI1235517137

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 99

 

IA Category Score 40
Cost Category Score 0
Total Patients: 77
Source of Scores: individual

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_BMH_4 Depression screening
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_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 19 305 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 91 32 EHR
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 53 252 3 100 REG
MIPS_EC_047_overall Advance Care Plan 92 498 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 38 1071 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 55 455 3 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 28 1282 2 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 67 675 3 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 16 305 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 2717 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 32 773 2 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 70 169 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79 1243 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 75 1241 EHR
MIPS_EC_281_overall Dementia: Cognitive Assessment 72 32 4 94 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 73 482 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 56 768 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 28 994 2 64 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 14 482 2 100 EHR
PI_EC_EP_1 e-Prescribing 99 13472 4 100 EHR
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 87 53 1 100 REG
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 46 379 3 88 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 73 1448 3 99 EHR
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting