Daniel Ross Hartman

Tristar Southern Hills Medical Center NPI1922241959

Performance

Public Reporting for Performance Scores

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Final MIPS Score

92.93 out of 100

Score Breakdown

Quality Category Score 88.77
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 22
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
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%) 20 211 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_112_overall Breast Cancer Screening 48 352 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 63 211 3 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 43 823 2 92 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 119 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 119 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 119 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 70 676 EHR
MIPS_EC_309_overall Cervical Cancer Screening 29 1032 2 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 69 385 3 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 52 649 3 88 EHR