John Mark Deacon

Undersea and Hyperbaric Medicine Goleta Valley Cottage Hospital NPI1477567923

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 62
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 38 127 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 6 291 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 8 329 1 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 27 73 2 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 93 127 4 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 127 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 7 243 1 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 35 579 2 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 492 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 52 31 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82 333 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 77 333 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 51 206 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 26 1609 2 64 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 13 329 2 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 47 57 2 98 EHR
MIPS_EC_475_overall HIV Screening 32 241 4 33 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 4 23 1 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 98 329 4 100 EHR
MIPS_EC_472_overall Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 0 21 EHR