Dr. Thomas Gardner Foreman

Grand Strand Regional Medical Center NPI1942284047

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 58
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 99 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 74 264 4 98 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 21 310 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 991 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 52 42 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 377 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 264 5 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 377 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 39 56 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 99 264 4 100 EHR