Kevin Robert Bayes

Hospice and Palliative Medicine Paul B Hall Regional Medical Center NPI1700839073

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

96.71 out of 100

Score Breakdown

Quality Category Score 86.86
PI Category Score 88

 

IA Category Score 40
Cost Category Score 0
Total Patients: 75
Source of Scores: group, individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PM_16 Implementation of medication management practice improvements
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%) 69 199 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 55 51 3 89 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 3743 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 69 548 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 85 197 4 100 EHR
PI_EC_EP_1 e-Prescribing 100 3680 5 100 EHR
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_PEA_1 Provide Patients Electronic Access to Their Health Information 88 390 4 99 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting