Brett W Stephens

NPI1508805219

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.08 out of 100

Score Breakdown

Quality Category Score 72.88
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 191
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
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_021_overall Perioperative Care: Selection of Prophylactic Antibiotic First OR Second-Generation Cephalosporin 0 293 CLM
MIPS_EC_076_overall Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections 100 51 CLM
MIPS_EC_113_overall Colorectal Cancer Screening 100 175 5 92 EHR
MIPS_EC_145_overall Radiology: Exposure Dose Indices or Exposure Time and Number of Images Reported for Procedures Using Fluoroscopy 100 461 5 100 CLM
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 100 83 5 100 ATT
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 100 83 5 100 ATT
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 83 5 100 ATT
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis