Jay B Bitar

Cardiovascular Disease Northwest Medical Center-Springdale NPI1396795928

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.91 out of 100

Score Breakdown

Quality Category Score 88.86
PI Category Score 91.56

 

IA Category Score 40
Cost Category Score 0
Total Patients: 104
Source of Scores: individual, apm

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 143 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 89 781 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94 1332 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 382 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 382 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 68 538 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 95 465 4 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 465 5 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 27 1332 2 64 EHR
PI_EC_EP_1 e-Prescribing 58 429 1 100 EHR
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 96 301 4 99 EHR
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis