James Mastin Farmer

Lewisgale Medical Center NPI1013988161

Performance

Public Reporting for Performance Scores

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Final MIPS Score

91.79 out of 100

Score Breakdown

Quality Category Score 87.26
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 87
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 36 159 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 38 998 2 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 82 159 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 59 88 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 573 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 60 434 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 573 EHR
MIPS_EC_309_overall Cervical Cancer Screening 28 725 2 98 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 14 263 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 14 263 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 67 376 4 88 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 93 263 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 84 513 4 100 EHR