Genalyn Vargas

Primary Care NPI1790260180

Performance

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_BMH_4 Depression screening
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
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
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 20 40 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 14 102 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 10 40 1 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 78 40 3 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 13 40 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 338 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 28 151 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 26 151 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 51 95 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 6 145 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 28 101 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 60 145 3 100 EHR
PI_EC_EP_1 e-Prescribing 92 406 2 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 44 89 2 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis