Nina Kay Smith

Sentara Rmh Medical Center NPI1235190604

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 118
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 165 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 69 355 3 98 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 20 471 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 1894 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 12 90 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 612 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 83 612 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 87 355 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 52 97 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 355 5 100 EHR