Howard B Reinfeld Investigator

Steward North Shore Medical Center NPI1326070319

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: 122
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_12 Use evidence-based decision aids to support shared decision-making.
IA_EC_PSPA_27 Invasive Procedure or Surgery Anticoagulation Medication Management
IA_EC_PSPA_22 CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 54 155 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 61 118 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 78 155 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 2693 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 79 740 4 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 66 64 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 520 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 520 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 64 511 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 31 2692 2 64 EHR
PI_EC_EP_1 e-Prescribing 96 1141 4 100 ATT
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 100 20 5 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
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 97 313 4 100 ATT
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis