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Dr. Thomas P Brush

Pender Community Hospital NPI1669889200
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Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

65.71 out of 100

Score Breakdown

Quality Category Score 67.37
PI Category Score 34

 

IA Category Score 40
Cost Category Score 0
Total Patients: 50
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_BMH_2 Tobacco use
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 12 68 1 100 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 0 65 1 100 REG
MIPS_EC_047_overall Advance Care Plan 58 370 3 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 28 546 2 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 36 283 2 99 REG
MIPS_EC_112_overall Breast Cancer Screening 0 66 1 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 43 408 2 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 42 778 2 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 90 1124 3 100 REG
MIPS_EC_182_overall Functional Outcome Assessment 0 1144 REG
MIPS_EC_181_overall Elder Maltreatment Screen and Follow-Up Plan 0 370 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 257 4 100 REG
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 816 1 100 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 33 257 2 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 85 48 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 20 773 1 100 REG
PI_EC_EP_1 e-Prescribing 97 576 4 100 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 33 257 REG
MIPS_EC_400_overall One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk 0 134 1 97 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 17 928 1 100 REG
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_5 Clinical Data Registry Reporting