Dr. Bassam Nmi Al-Joundi Investigator

Cardiovascular Disease Jersey Community Hospital NPI1144277534

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

82.26 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 23

 

IA Category Score 40
Cost Category Score 0
Total Patients: 60
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_2 Tobacco use
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_005_overall Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 90 20 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 93 29 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 76 859 2 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 18 625 1 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 510 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 505 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 510 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 48 27 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 18 88 2 64 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 431 4 100 EHR
PI_EC_EP_1 e-Prescribing 87 2836 1 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 15 1161 1 100 REG
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis