Mrs. Holly Ann Gates

Family Herrin Hospital NPI1063991206

Performance

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 22 1 89 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 26 114 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 31 387 2 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 59 221 3 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 54 127 3 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 94 517 4 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 8 114 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 75 114 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 1009 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 94 261 4 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 552 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 250 5 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 552 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 80 260 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 16 68 2 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 35 362 2 88 EHR
MIPS_EC_309_overall Cervical Cancer Screening 46 229 2 98 EHR
PI_EC_EP_1 e-Prescribing 100 11343 5 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 62 68 3 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 88 786 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis