Marsha Kavanagh

Wentworth-Douglass Hospital NPI1467403659

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

84.86 out of 100

Score Breakdown

Quality Category Score 79.25
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 133
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
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_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 88 24 2 100 REG
MIPS_EC_047_overall Advance Care Plan 41 1051 2 100 REG
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 84 62 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 35 846 2 99 REG
MIPS_EC_117_overall Diabetes: Eye Exam 97 162 4 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 5 4095 1 100 REG
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 75 40 3 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 44 59 REG