Dr. Vidya J Counto

Salem Regional Medical Center NPI1609097971

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 96

 

IA Category Score 40
Cost Category Score 0
Total Patients: 39
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_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_16 Implementation of medication management practice improvements
IA_EC_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 48 161 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 77 372 4 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 47 444 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 97 161 4 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 36 264 2 93 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 2780 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 87 425 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 52 EHR
MIPS_EC_309_overall Cervical Cancer Screening 19 214 1 98 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 52 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 4 52 EHR
PI_EC_EP_1 e-Prescribing 87 1720 1 100 EHR
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 96 402 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PPHI_1 Security Risk Analysis