Dr. Diane Flershem

Central Dupage Hospital NPI1447205869

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 94

 

IA Category Score 40
Cost Category Score 0
Total Patients: 102
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 28 120 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 37 875 2 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 83 549 4 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 120 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99 1570 5 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 3321 5 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 43 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54 1416 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54 1416 EHR
PI_EC_EP_1 e-Prescribing 84 2229 1 100 EHR
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
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_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 95 624 4 99 EHR
PI_EC_PPHI_1 Security Risk Analysis