Rachelle Allie Sims

Family Memorial Hospital NPI1134769854

Performance

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_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_BMH_2 Tobacco use
IA_EC_BMH_4 Depression screening
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%) 31 131 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 37 1 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 49 1013 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 68 257 3 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 36 131 2 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 92 131 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 56 492 3 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 1813 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 18 1103 1 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 36 981 2 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71 980 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 64 980 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 37 123 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 80 398 EHR
MIPS_EC_309_overall Cervical Cancer Screening 20 368 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 61 450 3 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 9 450 3 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 50 1056 4 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 37 231 2 88 EHR