Dr. Bal Raj Bhandari Investigator

Morehouse General Hospital NPI1063473494

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

88.07 out of 100

Score Breakdown

Quality Category Score 69.45
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 122
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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 91 160 EHR
MIPS_EC_112_overall Breast Cancer Screening 9 474 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 76 844 4 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 89 2009 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 48 353 EHR
MIPS_EC_309_overall Cervical Cancer Screening 1 588 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 6 2008 1 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 4 521 1 100 EHR
PI_EC_EP_1 e-Prescribing 99 100 4 100 ATT
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 343 4 100 ATT
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_1 Immunization Registry Reporting