Dr. Douglas Ross Birns

Mount Sinai Hospital NPI1134158488

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 49
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_2 Tobacco use
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 22 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 52 1050 3 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2141 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 524 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 80 134 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 524 1 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 81 611 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 66 906 5 64 EHR
PI_EC_EP_1 e-Prescribing 95 380 3 100 EHR
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 414 5 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis