Dr. Augustine Njoku

Cardiovascular Disease Ut Health East Texas Tyler Regional Hospital NPI1174784904

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 0
PI Category Score 96

 

IA Category Score 40
Cost Category Score 0
Total Patients: 125
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_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_PM_12 Population empanelment
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
PI_EC_EP_1 e-Prescribing 99 167 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 31 406 2 98 EHR
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 100 431 5 99 EHR
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis