Dr. David H Good

Wagoner Community Hospital NPI1780009969

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

84.43 out of 100

Score Breakdown

Quality Category Score 81.30
PI Category Score 60

 

IA Category Score 40
Cost Category Score 0
Total Patients: 90
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_4 Depression screening
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_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 29 210 EHR
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 71 48 3 100 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 20 214 1 100 REG
MIPS_EC_047_overall Advance Care Plan 66 439 3 100 REG
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 150 1 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 19 791 1 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 210 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 15 586 1 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 77 210 3 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 27 288 2 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 23 1159 1 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 55 880 3 96 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 95 5029 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 50 669 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 1 1024 EHR
MIPS_EC_309_overall Cervical Cancer Screening 2 379 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 17 1680 2 64 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 1 1024 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 7 428 3 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 428 1 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 91 119 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 2 119 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 1 119 EHR
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 97 200 1 100 REG
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 10 592 1 88 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 25 816 2 79 EHR
PI_EC_EP_1 e-Prescribing 98 9262 4 100 EHR
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 51 1375 3 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting