William Chubb

Memorial Hospital Of Lafayette County NPI1508879826

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.98 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 84

 

IA Category Score 40
Cost Category Score 0
Total Patients: 24
Source of Scores: group, 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_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 84 228 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 16 779 1 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 47 515 3 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 7 228 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 68 1275 3 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 42 228 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 1689 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 28 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 317 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 317 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 779 5 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 79 48 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 48 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 4 48 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 26 1103 2 64 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 90 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 75 779 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 25 100 2 88 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 26 106 2 100 ATT
PI_EC_EP_1 e-Prescribing 95 324 4 100 ATT
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 65 1667 3 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion