Rebecca E Johnson

Medical NPI1083864045

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 53
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 15 170 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 374 1 89 EHR
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 25 1006 2 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 17 558 1 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 2 388 1 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 170 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 76 170 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99 1340 5 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 4680 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 112 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78 1105 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78 1105 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 27 759 2 96 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 64 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 59 370 EHR
MIPS_EC_281_overall Dementia: Cognitive Assessment 0 41 1 94 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 13 483 2 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 6 572 1 98 EHR
MIPS_EC_310_overall Chlamydia Screening for Women 21 43 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 24 2147 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 99 483 4 100 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 98 64 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 98 64 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
MIPS_EC_370_12-17 Depression Remission at Twelve Months 3 32 EHR
PI_EC_EP_1 e-Prescribing 98 17840 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 80 1992 4 99 EHR
PI_EC_PHCDRR_3_MULTI Electronic Case Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_4_MULTI Public Health Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_2_MULTI Syndromic Surveillance Reporting for Multiple Registry Engagement
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement