Gary Arlyn Finstad

Kern Valley Healthcare District NPI1184763633

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

85.42 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 36

 

IA Category Score 40
Cost Category Score 0
Total Patients: 44
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
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_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 20 76 EHR
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 32 494 2 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 93 76 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 8 328 1 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 42 142 2 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 57 603 3 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 29 76 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 67 2170 2 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94 63 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 469 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 469 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 7 425 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 52 326 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 22 638 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 40 425 2 100 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 14 206 1 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 99 3111 4 100 ATT
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
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 3 604 1 100 ATT
PI_EC_PHCDRR_2_EX_3 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_4_EX_3 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_3_EX_3 Electronic Case Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_EX_3 Clinical Data Registry Reporting Exclusion