Dr. Stephen Paul Compton

Murray-Calloway County Hospital NPI1619138492

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.94 out of 100

Score Breakdown

Quality Category Score 90.78
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 82
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_4 Depression screening
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%) 50 109 EHR
MIPS_EC_112_overall Breast Cancer Screening 34 444 2 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 79 109 3 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 43 822 2 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 30 1437 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2236 5 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 58 139 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 65 1074 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 61 341 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 59 1074 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 76 152 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 554 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 31 431 2 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 12 554 1 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 74 116 4 88 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 23 152 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 18 152 EHR
PI_EC_EP_1 e-Prescribing 100 232 5 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 76 1867 4 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