Dr. Ghassan Soultan Alkoutami

Cardiovascular Disease Frye Regional Medical Center NPI1508867516

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

88.67 out of 100

Score Breakdown

Quality Category Score 81.52
PI Category Score 82

 

IA Category Score 40
Cost Category Score 0
Total Patients: 113
Source of Scores: individual

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_BMH_2 Tobacco use
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
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 92 172 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 83 471 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25 2616 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 4064 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 62 1933 EHR
PI_EC_EP_1 e-Prescribing 99 8280 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 55 3403 3 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis