Charles C Park

Mercy Medical Center Inc NPI1861438517

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 70
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_CC_2 Implementation of improvements that contribute to more timely communication of test results
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 47 342 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 20 1516 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 36 727 2 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 28 670 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 28 1326 2 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 83 342 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 6 1527 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 30 322 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 65 5447 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 1320 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 54 969 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 16 727 2 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79 1320 EHR
MIPS_EC_305_30DaysOfVisit Initiation and Engagement of Alcohol and Other Drug Dependence Treatment 0 21 EHR
MIPS_EC_309_overall Cervical Cancer Screening 19 592 1 98 EHR
MIPS_EC_305_14DaysOfDiagnosis Initiation and Engagement of Alcohol and Other Drug Dependence Treatment 14 21 EHR
PI_EC_EP_1 e-Prescribing 92 2894 2 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 99 2343 5 99 EHR
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis