Dr. Daniel V Alexander

Winchester Medical Center NPI1184841470

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

98.71 out of 100

Score Breakdown

Quality Category Score 98.56
PI Category Score 79.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 200
Source of Scores: group, 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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 38 150 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 70 742 4 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 77 729 4 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 95 150 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 51 549 3 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 44 199 2 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 19 150 1 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 1 826 1 96 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1202 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 112 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 112 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 729 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 65 613 EHR
MIPS_EC_309_overall Cervical Cancer Screening 13 94 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 13 508 1 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 2 203 1 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 85 729 4 100 EHR
MIPS_EC_472_overall Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 9 56 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 14 266 1 100 ATT
PI_EC_EP_1 e-Prescribing 98 419 4 100 ATT
MIPS_EC_475_overall HIV Screening 11 392 2 33 EHR
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 364 5 100 ATT
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis