Valerie M Plant

Winchester Medical Center NPI1700147212

Performance

Public Reporting for Performance Scores

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Final MIPS Score

96.24 out of 100

Score Breakdown

Quality Category Score 95.38
PI Category Score 83

 

IA Category Score 40
Cost Category Score 0
Total Patients: 0
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_CC_2 Implementation of improvements that contribute to more timely communication of test results
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 48 52 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 56 222 3 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 71 126 3 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 48 106 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 48 218 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 85 52 4 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 15 52 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 531 5 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 347 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 34 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 34 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 55 166 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 10 126 3 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 25 363 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 100 126 5 100 EHR
MIPS_EC_475_overall HIV Screening 18 337 3 33 EHR
MIPS_EC_309_overall Cervical Cancer Screening 17 156 1 98 EHR
PI_EC_EP_1 e-Prescribing 100 106 5 100 ATT
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
MIPS_EC_472_overall Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 4 51 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 17 278 1 100 ATT
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 233 5 100 ATT
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_PPHI_1 Security Risk Analysis