Dr. David M Hirsch Investigator

Baptist Medical Center NPI1356340947

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

90.80 out of 100

Score Breakdown

Quality Category Score 77.20
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 56
Source of Scores: group

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_4 Depression screening
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_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 25 EHR
MIPS_EC_047_overall Advance Care Plan 43 591 2 100 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 16 275 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 12 921 1 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 25 945 2 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 20 1240 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 72 2835 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 20 1102 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 56 96 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 3 572 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 19 1102 EHR
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 42 735 2 100 REG
MIPS_EC_431_counseling Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 0 334 REG
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 20 572 1 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 13 816 1 88 EHR
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 87 735 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 97 3431 4 100 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 72 1922 3 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