Dalena Elizabeth Dekowski

Family Yoakum Community Hospital NPI1144688383

Performance

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_BMH_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 13 23 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 65 130 4 85 EHR
MIPS_EC_047_overall Advance Care Plan 90 134 4 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 70 67 4 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 76 42 4 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 61 23 3 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 23 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 246 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 40 90 2 96 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 54 92 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 113 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 113 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 25 48 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 25 132 2 100 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 48 107 2 100 ATT
PI_EC_EP_1 e-Prescribing 98 1480 4 100 ATT
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
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 81 734 4 100 ATT
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_4_MULTI Public Health Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_2_EX_3 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis