Teri L Thompson

Pediatrics Faith Regional Health Services NPI1588614309

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: 26
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_BMH_4 Depression screening
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%) 24 96 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_047_overall Advance Care Plan 78 205 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 21 840 2 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 74 96 3 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 44 268 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 51 455 3 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 8 96 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 16 999 1 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 925 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 17 70 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 91 2376 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 50 873 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 44 873 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 6 227 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 10 485 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 48 1783 4 64 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 78 318 EHR
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 96 77 1 100 REG
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 79 389 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 389 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 1 389 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 1 227 1 100 EHR