Donna E Dudziak

San Antonio Regional Hospital NPI1275630568

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

27.59 out of 100

Score Breakdown

Quality Category Score 35
PI Category Score 0

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 120 1 85 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 5 111 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 111 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 0 120 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 150 4 100 EHR
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 704 5 100 ATT
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion