Dr. William Walter Hancock

Tift Regional Medical Center NPI1265423339

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.94 out of 100

Score Breakdown

Quality Category Score 94.94
PI Category Score 94.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 198
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_005_overall Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 69 51 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 76 54 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 98 2902 5 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 5448 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 359 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 2838 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 2838 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 1891 5 100 EHR
PI_EC_EP_1 e-Prescribing 97 1878 4 100 ATT
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 98 1891 4 100 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 1186 5 100 ATT
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis