John A Baker

Sports Medicine North Central Surgical Center Llp NPI1710907423

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

81.53 out of 100

Score Breakdown

Quality Category Score 63.40
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 130
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_22 Improved Practices that Engage Patients Pre-Visit
IA_EC_AHE_3 Promote Use of Patient-Reported Outcome Tools
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_2 Tobacco use
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_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 10 364 1 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 16 500 1 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 74 1546 2 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 41 742 2 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 56 508 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 7 1535 1 64 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 55 508 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 301 4 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 90 301 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 11 108 1 88 EHR
PI_EC_EP_1 e-Prescribing 99 360 4 100 ATT
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_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 92 995 4 100 ATT
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis