Nicole J Danner

Neurology Firelands Regional Medical Center NPI1245202050

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

96.00 out of 100

Score Breakdown

Quality Category Score 88.98
PI Category Score 90

 

IA Category Score 40
Cost Category Score 0
Total Patients: 49
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_047_overall Advance Care Plan 99 531 4 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 47 444 2 99 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 79 1187 4 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 2164 4 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78 86 4 100 REG
MIPS_EC_288_overall Dementia: Education and Support of Caregivers for Patients with Dementia 91 81 4 100 REG
MIPS_EC_283_overall Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management 0 81 REG
MIPS_EC_290_overall Parkinsons Disease: Psychiatric Symptoms Assessment for Patients with Parkinsons Disease 0 84 1 100 REG
MIPS_EC_286_overall Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia 0 81 1 100 REG
MIPS_EC_282_overall Dementia: Functional Status Assessment 0 81 1 100 REG
MIPS_EC_291_overall Parkinsons Disease: Cognitive Impairment or Dysfunction Assessment for Patients with Parkinson's Disease 0 84 1 100 REG
MIPS_EC_293_overall Parkinsons Disease: Rehabilitative Therapy Options 0 84 1 100 REG
PI_EC_EP_1 e-Prescribing 99 1589 4 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling 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 89 575 4 100 REG
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis