Mrs. Kelly M Roberts

Family Mercy Hospital South NPI1568912129

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

81.20 out of 100

Score Breakdown

Quality Category Score 60.83
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 32
Source of Scores: group, apm

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 73 135 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 29 309 2 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 53 249 3 98 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 32 453 2 98 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 471 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 471 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 83 76 4 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 498 5 100 EHR
QCDR_EC_CDR5_overall Adequate Compression at each visit for Patients with VLUs 34 591 2 96 QCDR
QCDR_EC_USWR23_overall Non Invasive Arterial Assessment of patients with lower extremity wounds or ulcers for determination of healing potential 79 24 4 91 QCDR