Jesus M Ochoa

Delta County Memorial Hospital NPI1023089166

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_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 16 206 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 66 705 4 85 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 57 1 89 EHR
MIPS_EC_112_overall Breast Cancer Screening 78 274 4 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 27 1189 2 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 66 606 3 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 80 206 4 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 95 206 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 2831 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 74 959 4 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 45 199 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 77 496 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 1017 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 88 1017 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 5 404 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 37 1352 3 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 51 370 3 98 EHR
MIPS_EC_370_18+ Depression Remission at Twelve Months 12 25 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 59 274 3 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 84 404 4 100 EHR