Eduardo Esper

Vascular Surgery Terre Haute Regional Hospital NPI1902890999

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

77.29 out of 100

Score Breakdown

Quality Category Score 64.86
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 33
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 35 71 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 46 112 3 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 9 216 1 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 76 71 3 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 35 23 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 61 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 43 165 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 14 284 1 64 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 75 61 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 56 207 3 100 EHR