Kathryn Edith Swanson

Umass Memorial Healh - Harrington Hospital NPI1437216546

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

87.74 out of 100

Score Breakdown

Quality Category Score 73.74
PI Category Score 96

 

IA Category Score 40
Cost Category Score 0
Total Patients: 120
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_12 Care coordination agreements that promote improvements in patient tracking across settings
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_047_overall Advance Care Plan 0 708 1 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 0 572 1 99 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 2 932 1 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92 1979 3 100 REG
MIPS_EC_137_overall Melanoma: Continuity of Care Recall System 76 68 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 2 44 1 100 REG
MIPS_EC_265_overall Biopsy Follow-Up 0 62 REG
PI_EC_EP_1 e-Prescribing 99 281 4 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 98 47 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information 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 95 613 4 100 REG
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement