Anitha Angan

Pulmonary Disease San Ramon Regional Medical Center NPI1528261500

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.02 out of 100

Score Breakdown

Quality Category Score 88.22
PI Category Score 82

 

IA Category Score 40
Cost Category Score 0
Total Patients: 28
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
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_PM_14 Implementation of methodologies for improvements in longitudinal care management for high risk patients
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 77 90 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 6 275 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 12 290 1 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 0 173 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 9 361 1 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 1 90 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 70 90 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 21 631 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 90 984 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 566 1 96 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 3 290 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81 210 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 42 253 EHR
MIPS_EC_309_overall Cervical Cancer Screening 5 146 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 290 1 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79 210 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 18 547 2 64 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 97 1567 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 30 642 2 99 EHR
PI_EC_PHCDRR_4_MULTI Public Health Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion