Amy Faith Bretan

Adult Medicine Hunterdon Medical Center NPI1588696728

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

94.76 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 20
Cost Category Score 0
Total Patients: 97
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 9 133 EHR
MIPS_EC_047_overall Advance Care Plan 97 660 4 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 95 133 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 68 549 EHR
MIPS_EC_309_overall Cervical Cancer Screening 68 403 3 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 92 658 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 97 1598 4 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 626 4 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement