Timothy J Lepore

Nantucket Cottage Hospital NPI1720041023

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

96.60 out of 100

Score Breakdown

Quality Category Score 93.96
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 56
Source of Scores: group, 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_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 27 108 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 63 1785 3 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 73 5551 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 66 414 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 2 594 4 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 67 594 3 100 EHR