Dr. Steven A Weston

Carolinas Medical Center/Behav Health NPI1760402093

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

71.51 out of 100

Score Breakdown

Quality Category Score 66.42
PI Category Score 56

 

IA Category Score 0
Cost Category Score 0
Total Patients: 45
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%) 100 32 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 2 115 1 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 1 124 1 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 23 30 1 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 14 128 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 29 223 2 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 47 30 2 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 48 496 2 98 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 52 73 EHR
MIPS_EC_309_overall Cervical Cancer Screening 9 237 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 38 115 2 100 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 2 650 1 100 ATT
PI_EC_EP_1 e-Prescribing 99 281 4 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 13 467 1 100 ATT
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PPHI_1 Security Risk Analysis