Kevin S Caperton

Seton Medical Center Harker Heights NPI1417096348

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 96.19
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 109
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_4 Depression screening
IA_EC_BMH_2 Tobacco use
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 28 111 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 31 765 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 47 357 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 90 111 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 15 1116 1 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 27 111 2 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 36 683 2 92 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 41 1019 2 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 74 72 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 2015 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 871 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 88 871 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 47 423 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 57 95 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 95 EHR
MIPS_EC_309_overall Cervical Cancer Screening 11 277 1 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 3 517 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0 1067 1 64 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 1 95 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 29 517 2 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 8 83 1 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 87 196 1 100 EHR
MIPS_EC_375_overall Functional Status Assessment for Total Knee Replacement 0 25 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 80 1339 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting