Sarah E Drum

Lawrence Memorial Hospital NPI1669974499

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 91

 

IA Category Score 40
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
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_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
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%) 44 68 EHR
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 76 21 3 100 REG
MIPS_EC_047_overall Advance Care Plan 76 168 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 28 404 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 23 104 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 26 202 2 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 84 3487 3 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 58 99 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81 335 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 69 335 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 88 174 EHR
MIPS_EC_281_overall Dementia: Cognitive Assessment 70 50 3 94 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 56 162 3 100 EHR
PI_EC_EP_1 e-Prescribing 99 5507 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 43 747 2 99 EHR
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting