Mrs. Jennifer L Campbell

Sequoyah County-City Of Sallisaw Hospital Authorit NPI1316311152

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 195
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
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_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 142 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 471 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 0 287 1 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 347 1 96 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99 443 5 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 6450 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 56 675 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82 181 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 51 675 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 59 326 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 287 5 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 287 1 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 1 182 1 88 EHR