Dr. Anand Donald Mishra

Cardiovascular Disease North Alabama Medical Center NPI1821208497

Performance

Public Reporting for Performance Scores

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Final MIPS Score

94.93 out of 100

Score Breakdown

Quality Category Score 85.11
PI Category Score 97

 

IA Category Score 40
Cost Category Score 0
Total Patients: 185
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_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%) 84 55 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 78 64 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 89 55 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1474 5 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 383 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 16 174 1 98 EHR
PI_EC_EP_1 e-Prescribing 98 1192 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 91 817 4 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis