Dr. Imran Mir

Covenant Medical Center NPI1467628388

Performance

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_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_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 47 32 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 33 108 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 47 43 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 84 32 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 53 101 3 98 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 31 32 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 72 387 2 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 25 108 2 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54 41 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78 145 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 9 35 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 73 85 EHR
MIPS_EC_309_overall Cervical Cancer Screening 17 65 1 98 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 65 145 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 49 35 2 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 18 88 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 34 59 2 88 EHR