Dr. Elias Bazakos

Neurology Mercy Hospital NPI1437276573

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.10 out of 100

Score Breakdown

Quality Category Score 95.02
PI Category Score 84

 

IA Category Score 40
Cost Category Score 0
Total Patients: 32
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
IA_EC_PSPA_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
MIPS_EC_047_overall Advance Care Plan 75 317 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 93 87 5 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 12 60 1 93 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 94 127 4 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 11 138 1 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 1413 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 5 278 1 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 249 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 28 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 28 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 33 30 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 2 127 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 21 82 1 98 EHR
MIPS_EC_286_overall Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia 0 41 1 100 REG
MIPS_EC_282_overall Dementia: Functional Status Assessment 0 41 1 100 REG
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 87 127 4 100 EHR
MIPS_EC_281_overall Dementia: Cognitive Assessment 0 27 1 94 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 86 333 1 100 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 55 211 3 98 EHR
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 254 5 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
QCDR_EC_AAN5_overall Medication Prescribed For Acute Migraine Attack 51 59 3 97 QCDR
QCDR_EC_AAN8_overall Exercise and Appropriate Physical Activity Counseling for Patients with MS 80 54 QCDR