Jamie L Hatcher

Our Lady Of The Lake Regional Medical Center NPI1104145192

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.44 out of 100

Score Breakdown

Quality Category Score 94.57
PI Category Score 99.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 147
Source of Scores: individual, group

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_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_012_overall Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 99 77 4 100 EHR
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 77 308 4 100 EHR
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 98 389 4 100 REG
MIPS_EC_117_overall Diabetes: Eye Exam 100 370 5 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 2773 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78 41 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 854 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 854 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 44 884 2 100 EHR
PI_EC_EP_1 e-Prescribing 98 400 4 100 REG
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_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 99 1379 4 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
QCDR_EC_IRIS2_overall Glaucoma Intraocular Pressure Reduction 52 56 3 92 QCDR
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion