Dr. John B Nelson

Pulmonary Disease Overland Park Reg Med Ctr NPI1417040890

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

86.19 out of 100

Score Breakdown

Quality Category Score 78.69
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 37
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 64 39 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 22 463 2 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 72 39 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 208 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 208 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 77 235 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 70 381 3 100 EHR