Ashley D Krohn

Faith Regional Health Services NPI1104089069

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.02 out of 100

Score Breakdown

Quality Category Score 88.87
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 16
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_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 41 119 EHR
MIPS_EC_047_overall Advance Care Plan 54 256 3 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 22 911 2 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 32 523 2 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 28 305 2 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 9 119 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 86 1804 3 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 85 119 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 10 1416 1 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1365 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 33 58 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 31 949 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 52 399 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 2 244 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 27 949 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 399 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 63 309 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 13 1467 1 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 8 614 1 98 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 3 399 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 244 1 100 EHR
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 100 54 1 100 REG