Ms. Jennifer Kay-Berene Klein

Family NPI1669517033

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 93

 

IA Category Score 40
Cost Category Score 0
Total Patients: 16
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_ERP_3 COVID-19 Clinical Data Reporting with or without Clinical Trial
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 39 36 EHR
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
IA_EC_PSPA_31 Patient Medication Risk Education
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 77 191 4 85 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 54 1 89 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 31 36 2 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 69 36 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 76 125 4 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 97 36 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 87 371 4 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 28 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 96 228 5 96 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 517 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 120 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 120 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 51 134 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 20 5 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 93 84 4 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 18 325 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 55 20 3 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 59 34 3 88 EHR
PI_EC_EP_1 e-Prescribing 98 3970 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 54 380 3 99 EHR
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis