Mr. Christopher D Holloway

Tristar Southern Hills Medical Center NPI1063407351

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 38
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_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 76 29 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 20 636 EHR
MIPS_EC_112_overall Breast Cancer Screening 68 591 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 80 636 3 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 72 1383 4 92 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 82 2755 4 96 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 66 1382 EHR
MIPS_EC_309_overall Cervical Cancer Screening 66 1261 3 98 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 67 1385 4 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 97 476 4 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 148 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 1 148 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 148 EHR