Ronald Anthony Hickombottom

Sports Medicine Advocate Trinity Hospital NPI1023020989

Performance

Public Reporting for Performance Scores

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Final MIPS Score

98.44 out of 100

Score Breakdown

Quality Category Score 93.72
PI Category Score 73

 

IA Category Score 40
Cost Category Score 0
Total Patients: 358
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_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 39 321 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 34 718 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 41 270 2 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 19 1057 1 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 4 321 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 97 321 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 84 3491 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 88 868 4 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 37 164 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 51 627 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 1057 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 83 1056 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 189 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 13 1522 1 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 37 436 2 98 EHR
MIPS_EC_370_18+ Depression Remission at Twelve Months 12 26 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 5 524 1 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 1 189 1 100 EHR
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 32 97 2 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis