Johannes C Evans

St Claire Regional Medical Center NPI1780689588

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

59.54 out of 100

Score Breakdown

Quality Category Score 72.44
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 88
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_3 Engagement with QIN-QIO to implement self-management training programs
IA_EC_AHE_5 MIPS Eligible Clinician Leadership in Clinical Trials or CBPR
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_BMH_1 Diabetes screening
IA_EC_CC_11 Care transition standard operational improvements
IA_EC_BMH_8 Electronic Health Record Enhancements for BH data capture
IA_EC_CC_12 Care coordination agreements that promote improvements in patient tracking across settings
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_2 Use of telehealth services that expand practice access
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_PM_14 Implementation of methodologies for improvements in longitudinal care management for high risk patients
IA_EC_EPA_3 Collection and use of patient experience and satisfaction data on access
IA_EC_PM_11 Regular Review Practices in Place on Targeted Patient Population Needs
IA_EC_PM_5 Engagement of community for health status improvement
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_047_overall Advance Care Plan 0 2292 1 100 REG
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 2 49 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 1682 1 100 REG
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 1 150 1 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 0 1743 1 99 REG
MIPS_EC_117_overall Diabetes: Eye Exam 99 483 4 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 2 4137 1 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 47 1 100 REG
PI_EC_EP_1 e-Prescribing 98 4729 4 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 91 22 REG
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 0 1633 1 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 29 3720 1 100 REG