Dr. Joel W Brook

North Central Surgical Center Llp NPI1548249790

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

96.91 out of 100

Score Breakdown

Quality Category Score 89.99
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 54
Source of Scores: individual

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_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 187 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 69 1935 3 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 3210 4 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 66 187 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85 866 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82 34 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85 865 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 868 5 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 72 868 3 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 93 1417 2 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 29 329 2 88 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 90 2285 4 99 EHR
PI_EC_PPHI_1 Security Risk Analysis