George Nicholas Welch

Cardiovascular Disease Claremore Indian Hospital NPI1144258336

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

86.67 out of 100

Score Breakdown

Quality Category Score 96.06
PI Category Score 98.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 210
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_BMH_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 85 53 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 2647 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 26 69 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 78 932 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 53 1410 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 49 1410 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 33 696 3 64 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 5 1126 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 14 88 1 88 EHR
PI_EC_EP_1 e-Prescribing 98 494 4 100 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 80 2099 4 99 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis