Dr. Brook Goff Bearden

Cook Medical Center A Campus Of Tift Reg Med Ctr NPI1750446506

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

81.65 out of 100

Score Breakdown

Quality Category Score 63.33
PI Category Score 97

 

IA Category Score 40
Cost Category Score 0
Total Patients: 113
Source of Scores: 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_BMH_2 Tobacco use
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 1166 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 0 842 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 0 1554 1 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 15 2542 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 75 4479 2 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 9 95 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 1192 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 83 1192 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 1305 5 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 70 162 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 162 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 1 162 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 1305 1 100 EHR
MIPS_EC_375_overall Functional Status Assessment for Total Knee Replacement 0 40 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 6 4456 1 64 EHR
MIPS_EC_376_overall Functional Status Assessment for Total Hip Replacement 0 37 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 19 663 1 88 EHR
PI_EC_EP_1 e-Prescribing 95 1639 3 100 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_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 69 2878 3 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis