Catherine L Francis

Medical Wesley Medical Center NPI1386624690

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.72 out of 100

Score Breakdown

Quality Category Score 91.55
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 12
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 70 20 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 29 84 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 73 84 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 291 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 56 39 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 291 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 83 396 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 34 232 3 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 48 62 3 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 58 339 3 100 EHR