Craig C Mckirgan

Sports Medicine Indiana Regional Medical Center NPI1225098916

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.42 out of 100

Score Breakdown

Quality Category Score 89.49
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 45
Source of Scores: apm

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_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 40 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 17 1850 1 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 78 40 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2919 5 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1946 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 5 37 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 22 787 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 807 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 83 54 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 17 787 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 807 1 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 83 132 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 132 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 5 132 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 10 466 1 88 EHR
MIPS_EC_376_overall Functional Status Assessment for Total Hip Replacement 0 21 EHR
MIPS_EC_375_overall Functional Status Assessment for Total Knee Replacement 0 30 EHR
PI_EC_EP_1 e-Prescribing 98 945 4 100 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 0 699 1 79 EHR
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 29 2216 2 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting