Scott William Gordon

Foot & Ankle Surgery Pratt Regional Medical Center NPI1164745824

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

84.32 out of 100

Score Breakdown

Quality Category Score 87.64
PI Category Score 89

 

IA Category Score 40
Cost Category Score 0
Total Patients: 60
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_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_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 80 248 EHR
MIPS_EC_047_overall Advance Care Plan 85 730 4 100 REG
MIPS_EC_117_overall Diabetes: Eye Exam 5 248 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 27 794 2 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 88 1451 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 3049 4 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 2 708 4 100 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 22 136 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 58 216 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 13 2293 1 64 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 88 136 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 26 136 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 34 194 2 88 EHR
PI_EC_EP_1 e-Prescribing 97 975 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
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 85 1625 4 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting