Rebecca A Rivardo

Medical Wayne Memorial Hospital NPI1326237710

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

54.36 out of 100

Score Breakdown

Quality Category Score 60.05
PI Category Score 0

 

IA Category Score 0
Cost Category Score 0
Total Patients: 0
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 85 52 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 36 858 2 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 60 721 3 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 2 535 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 93 990 5 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 63 52 3 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 52 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 36 1722 2 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1794 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 28 132 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 93 3020 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 885 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80 885 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 32 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 3 32 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 32 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 61 195 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 721 4 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 721 1 100 EHR
MIPS_EC_310_overall Chlamydia Screening for Women 0 34 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 27 2907 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 79 86 4 88 EHR
MIPS_EC_309_overall Cervical Cancer Screening 0 538 1 98 EHR
MIPS_EC_379_overall Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists 0 80 EHR