Leilani Garcia Mears

Jefferson Regional Medical Center NPI1912342585

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

88.92 out of 100

Score Breakdown

Quality Category Score 80.07
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 17
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_PM_7 Use of QCDR for feedback reports that incorporate population health
IA_EC_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements