Elise Cheng Denneny

University Health System, Inc NPI1649267089

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 94

 

IA Category Score 40
Cost Category Score 0
Total Patients: 64
Source of Scores: individual

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
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_2 Use of telehealth services that expand practice access
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 99 501 5 99 REG
MIPS_EC_093_overall Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy Avoidance of Inappropriate Use 98 54 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 1876 4 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 87 1358 4 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85 27 4 100 REG
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 4 28 4 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 97 35 REG
PI_EC_EP_1 e-Prescribing 96 441 4 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance 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_PEA_1 Provide Patients Electronic Access to Their Health Information 91 512 4 100 REG
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
QCDR_EC_AAO23_overall Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines 74 597 4 88 QCDR
QCDR_EC_AAO24_overall Allergic Rhinitis: Avoidance of Leukotriene Inhibitors 100 288 QCDR