Francis James Mcgouran III

Duncan Regional Hospital, Inc NPI1205819570

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

61.42 out of 100

Score Breakdown

Quality Category Score 53.97
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 177
Source of Scores: group, apm

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 14 387 EHR
MIPS_EC_066_overall Appropriate Testing for Pharyngitis 69 48 3 95 EHR
MIPS_EC_112_overall Breast Cancer Screening 72 495 4 93 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 45 1844 3 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 64 837 3 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 56 1068 3 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 97 2221 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 9511 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 16 179 1 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 34 1562 2 96 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 47 1323 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 11 873 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 34 1837 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 26 1837 EHR
PI_EC_EP_1 e-Prescribing 99 4886 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 25 9352 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 99 873 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_HIE_1 Support Electronic Referral Loops By Sending Health Information 8 345 1 79 EHR
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 98 1693 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis