Kelly H Smith

Specialty

Certified Registered Nurse Anesthetist (crna)

Gender

F

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

2011

Offers Telehealth Services

No

Accepts Medicare Assignment

Yes

Facility Type

Hospital

Facility

Facility Type

Group

Group Name

Member Count

34

Accepts Medicare Assignment

Y

MIPS Measure

Provide Education Opportunities for New Clinicians

Attestation

Yes

MIPS Measure

Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.

Attestation

Yes

MIPS Measure

Improved Practices that Engage Patients Pre-Visit

Attestation

Yes

MIPS Measure

Collection and follow-up on patient experience and satisfaction data on beneficiary engagement

Attestation

Yes

MIPS Measure

Implementation of documentation improvements for practice/process improvements

Attestation

Yes

MIPS Measure

Regular Review Practices in Place on Targeted Patient Population Needs

Attestation

Yes

MIPS Measure

Participation in CAHPS or other supplemental questionnaire

Attestation

Yes

MIPS Measure

Use of QCDR for feedback reports that incorporate population health

Attestation

Yes

MIPS Measure

Participation in Joint Commission Evaluation Initiative

Attestation

Yes

MIPS Measure

Use of decision support and standardized treatment protocols

Attestation

Yes

MIPS Measure

Implementation of formal quality improvement methods, practice changes, or other practice improvement processes

Attestation

Yes

MIPS Measure

Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes

Attestation

Yes

MIPS Measure

Participation in MOC Part IV

Attestation

Yes

MIPS Measure

Use of Patient Safety Tools

Attestation

Yes

MIPS Measure

Use of QCDR data for ongoing practice assessment and improvements

Attestation

Yes

MIPS Measure

Perioperative Temperature Management

Attestation

No

MIPS Measure

Prevention of Post-Operative Nausea and Vomiting (PONV) Combination Therapy

Attestation

No

MIPS Measure

Obstructive Sleep Apnea: Patient Education

Attestation

No