Dr. Jonathan A Dalton

Northshore University Healthsystem - Evanston Hospital NPI1083727747

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

98.85 out of 100

Score Breakdown

Quality Category Score 94.14
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 332
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
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_047_overall Advance Care Plan 11 1935 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 92 2247 4 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 14 1602 1 99 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 0 3612 1 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 95 4701 4 100 REG
MIPS_EC_137_overall Melanoma: Continuity of Care Recall System 86 168 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0 3270 1 100 REG
MIPS_EC_358_overall Patient-Centered Surgical Risk Assessment and Communication 0 60 1 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 100 152 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 92 943 REG
MIPS_EC_265_overall Biopsy Follow-Up 97 212 REG
PI_EC_EP_1 e-Prescribing 100 1189 5 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 92 943 4 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 92 3782 4 100 REG
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement