Scott A Nicol

Tidelands Waccamaw Community Hospital NPI1902808447

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.33 out of 100

Score Breakdown

Quality Category Score 88.82
PI Category Score 87.67

 

IA Category Score 40
Cost Category Score 0
Total Patients: 110
Source of Scores: group, individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PCMH Electronic submission of Patient Centered Medical Home accreditation
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 83 235 4 100 REG
MIPS_EC_047_overall Advance Care Plan 58 503 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 90 456 4 99 REG
MIPS_EC_112_overall Breast Cancer Screening 73 213 3 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 66 76 3 100 REG
MIPS_EC_118_overall Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) 73 22 REG
PI_EC_EP_1 e-Prescribing 98 1159 4 100 REG
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 16 116 1 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 93 823 4 100 REG
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis