Dr. Hillary Carney Smith

NPI1457787772

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

11.83 out of 100

Score Breakdown

Quality Category Score 15
PI Category Score 0

 

IA Category Score 0
Cost Category Score 0
Total Patients: 39
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_7 Use of QCDR for feedback reports that incorporate population health
MIPS_EC_012_overall Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 100 40 5 100 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 0 65 1 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 92 36 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 254 5 100 EHR
MIPS_EC_191_overall Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery 98 57 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 45 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 45 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 133 5 100 EHR
PI_EC_EP_1 e-Prescribing 93 165 3 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 80 550 3 100 REG
QCDR_EC_IRIS2_overall Glaucoma Intraocular Pressure Reduction 93 29 5 92 QCDR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis