Robert Henderson

Lewisgale Hospital Alleghany NPI1356552376

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 98.57
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 144
Source of Scores: individual

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_BMH_2 Tobacco use
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 23 385 EHR
MIPS_EC_047_overall Advance Care Plan 38 804 2 100 REG
MIPS_EC_112_overall Breast Cancer Screening 26 681 2 93 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 26 1649 2 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 22 1228 1 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 82 385 4 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 385 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94 5295 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 66 1130 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 9 780 3 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 22 2622 2 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 20 891 1 98 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 21 358 1 88 EHR