Savannah Chantae Doughty

Family Mcalester Regional Health Center NPI1114573250

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 55
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_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 154 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 482 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 0 293 1 98 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99 394 5 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 11 154 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 5434 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71 608 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 312 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 226 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 70 608 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 293 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 65 347 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 24 2276 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 0 139 1 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 293 1 100 EHR