William Harrison Bell

South Peninsula Hospital NPI1992711337

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 0
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%) 15 103 EHR
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 64 76 3 100 REG
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_047_overall Advance Care Plan 90 360 4 100 REG
MIPS_EC_112_overall Breast Cancer Screening 63 129 3 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 3 103 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 73 103 3 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 65 371 3 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 1050 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 40 563 2 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84 50 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 28 603 2 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 574 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 18 33 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 15 33 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 574 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 91 33 EHR
MIPS_EC_309_overall Cervical Cancer Screening 49 103 3 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 37 355 2 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 64 177 3 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 34 510 3 64 EHR
PI_EC_EP_1 e-Prescribing 95 3622 3 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 83 800 4 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis