Steven Marshall Gore

Haywood Regional Medical Center NPI1346341633

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.02 out of 100

Score Breakdown

Quality Category Score 90.66
PI Category Score 88

 

IA Category Score 40
Cost Category Score 0
Total Patients: 93
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_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 91 69 EHR
MIPS_EC_047_overall Advance Care Plan 88 1021 4 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 61 836 3 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2212 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 73 985 EHR
PI_EC_EP_1 e-Prescribing 98 2673 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 71 2287 3 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis