Imad Issawi

Cardiovascular Disease Ascension Genesys Hospital NPI1174590228

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: 68
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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 80 100 EHR
IA_EC_PSPA_29 Consulting AUC Using Clinical Decision Support when Ordering Advanced
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 70 378 3 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 10 349 1 92 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 51 413 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 8 149 1 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 3 100 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 77 100 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 35 666 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 1352 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 77 515 4 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 47 55 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 454 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 454 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 81 426 EHR
MIPS_EC_309_overall Cervical Cancer Screening 10 105 1 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 378 4 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 88 378 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 11 81 1 88 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_EP_1 e-Prescribing 100 1635 5 100 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 95 749 4 98 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 89 683 4 99 EHR
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis