Alireza Eghtedar

Presbyterian St Luke's Medical Center NPI1811280431

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

77.29 out of 100

Score Breakdown

Quality Category Score 49.69
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 34
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_AHE_5 MIPS Eligible Clinician Leadership in Clinical Trials or CBPR
IA_EC_BMH_2 Tobacco use
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_EPA_2 Use of telehealth services that expand practice access
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_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_047_overall Advance Care Plan 9 111 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 13 238 1 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 5 173 1 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 0 69 1 93 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 93 695 4 100 EHR
MIPS_EC_143_overall Oncology: Medical and Radiation Pain Intensity Quantified 88 33 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 176 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 87 132 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 132 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 0 53 1 88 EHR
PI_EC_EP_1 e-Prescribing 99 840 4 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 70 360 3 100 REG
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis