Wanda Faye Mooney

Family St Bernards Medical Center NPI1316557705

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 91

 

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

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_2 Tobacco use
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_BMH_4 Depression screening
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
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 29 77 EHR
MIPS_EC_047_overall Advance Care Plan 42 86 2 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 27 361 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 29 91 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 35 177 2 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 1157 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92 331 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 33 138 2 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 64 329 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 58 193 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 10 80 1 100 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_EP_1 e-Prescribing 97 3874 4 100 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 61 631 3 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis