Dr. Nathaniel L Haddock

Bartlett Regional Hospital NPI1659397065

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 97

 

IA Category Score 40
Cost Category Score 0
Total Patients: 129
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%) 14 105 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 16 391 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 48 344 2 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 105 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 24 659 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 86 1289 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 628 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 57 488 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 410 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 14 1248 1 64 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 53 488 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 66 495 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 410 1 100 EHR
PI_EC_EP_1 e-Prescribing 99 1845 4 100 EHR
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 259 4 99 EHR
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis