Julie W Nelson

Virginia Mason Medical Center NPI1801024245

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

78.23 out of 100

Score Breakdown

Quality Category Score 72.58
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 18
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
IA_EC_CC_8 Implementation of documentation improvements for practice/process improvements
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
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_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
IA_EC_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
IA_EC_PSPA_28 Completion of an Accredited Safety or Quality Improvement Program
IA_EC_PSPA_8 Use of Patient Safety Tools
QCDR_EC_AQI62_overall Obstructive Sleep Apnea: Patient Education 100 47 QCDR