Hassan M Ismail

Hurley Medical Center NPI1881687861

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 58
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_6 Provide Education Opportunities for New Clinicians
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PSPA_15 Implementation of an ASP
IA_EC_PSPA_29 Consulting AUC Using Clinical Decision Support when Ordering Advanced
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 54 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 46 254 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 24 93 2 93 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 64 142 3 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 25 189 2 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 10 89 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 93 89 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 776 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25 327 2 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 63 48 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 234 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 81 216 4 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 234 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 78 245 EHR
MIPS_EC_309_overall Cervical Cancer Screening 37 63 2 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 11 142 3 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 87 142 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 9 106 1 88 EHR
PI_EC_EP_1 e-Prescribing 100 813 5 100 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 89 370 4 98 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 87 348 4 99 EHR
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis