Chi Hang Cheang

Acute Care Saint Francis Medical Center NPI1609200146

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

79.67 out of 100

Score Breakdown

Quality Category Score 87.46
PI Category Score 0

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 39 31 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 37 30 2 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 53 32 3 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 88 32 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 32 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 72 82 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 82 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 67 21 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 17 36 2 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 97 32 4 100 EHR