Dr. Laura Michelle Dacks

Colleton Medical Center NPI1730376294

Performance

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Final MIPS Score

86.62 out of 100

Score Breakdown

Quality Category Score 75.23
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 13
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_PM_16 Implementation of medication management practice improvements
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%) 100 21 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 49 86 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 38 109 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 59 175 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 43 21 1 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 20 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 69 134 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 69 134 EHR
MIPS_EC_309_overall Cervical Cancer Screening 29 130 2 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 63 106 3 100 EHR