Gregory K Wood

Reynolds Memorial Hospital NPI1740243013

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 98.37
PI Category Score 100

 

IA Category Score 0
Cost Category Score 0
Total Patients: 129
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 21 192 EHR
MIPS_EC_112_overall Breast Cancer Screening 28 250 2 93 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 9 260 1 85 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 115 1 89 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 2 192 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 18 623 1 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 87 192 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 30 110 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1783 5 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 35 899 2 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 376 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 11 431 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80 376 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 61 624 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 11 1346 1 64 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 33 EHR
MIPS_EC_309_overall Cervical Cancer Screening 11 220 1 98 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 33 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 3 33 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 6 324 1 88 EHR
MIPS_EC_379_overall Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists 0 58 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 2 431 1 100 EHR
PI_EC_EP_1 e-Prescribing 98 2060 4 100 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_PEA_1 Provide Patients Electronic Access to Their Health Information 100 462 5 99 EHR
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting