Emmanuel Favila

Cardiovascular Disease Terre Haute Regional Hospital NPI1598722399

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.13 out of 100

Score Breakdown

Quality Category Score 96.67
PI Category Score 89

 

IA Category Score 40
Cost Category Score 0
Total Patients: 55
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 22 55 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 93 28 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 92 675 5 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 10 779 1 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 73 55 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 1052 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 120 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 74 924 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 1052 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 20 909 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 81 54 4 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 22 904 1 100 EHR