Robert S Lavey

Radiation Oncology Hendrick Medical Center Brownwood NPI1932209855

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.42 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 67

 

IA Category Score 40
Cost Category Score 0
Total Patients: 192
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_21 Improved Practices that Disseminate Appropriate Self-Management Materials
IA_EC_BE_24 Financial Navigation Program
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_BMH_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_EPA_2 Use of telehealth services that expand practice access
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_PM_21 Advance Care Planning
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 56 193 3 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 48 353 2 98 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 59 570 3 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 796 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 73 566 4 96 EHR
MIPS_EC_143_overall Oncology: Medical and Radiation Pain Intensity Quantified 97 1434 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 188 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 188 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 50 20 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 45 428 2 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 428 5 100 EHR
PI_EC_EP_1 e-Prescribing 95 574 3 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 16 550 1 100 REG
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_4_EX_2 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_5_EX_2 Clinical Data Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis