Alex A Aslan

Gastroenterology Sutter Delta Medical Center NPI1538115571

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

94.86 out of 100

Score Breakdown

Quality Category Score 79.03
PI Category Score 99

 

IA Category Score 40
Cost Category Score 0
Total Patients: 20
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_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 60 93 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 78 217 4 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 38 117 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 48 315 3 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 12 93 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 77 93 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 82 513 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 645 5 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 16 411 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 108 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 217 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 49 235 EHR
MIPS_EC_309_overall Cervical Cancer Screening 17 116 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 23 217 1 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 108 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0 384 1 64 EHR
MIPS_EC_475_overall HIV Screening 12 328 2 33 EHR
PI_EC_EP_1 e-Prescribing 99 591 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 583 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_2_EX_3 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis