Dr. Edward Bieber

Suburban Hospital NPI1831194174

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

87.56 out of 100

Score Breakdown

Quality Category Score 73.10
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 327
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
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_110_overall Preventive Care and Screening: Influenza Immunization 33 1610 2 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 61 1673 3 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 48 1115 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 71 2050 4 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 40 3401 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 7949 4 100 EHR
PI_EC_EP_1 e-Prescribing 97 496 4 100 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 100 20 5 98 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 98 3503 4 99 EHR
PI_EC_PHCDRR_3_EX_3 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_2 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_EX_3 Clinical Data Registry Reporting Exclusion