Justin P Arnold

Franklin Foundation Hospital NPI1346488376

Performance

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_6 Provide Education Opportunities for New Clinicians
IA_EC_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
IA_EC_BE_22 Improved Practices that Engage Patients Pre-Visit
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_CC_15 PSH Care Coordination
IA_EC_ERP_2 Participation in a 60-day or greater effort to support domestic or international humanitarian needs.
IA_EC_CC_19 Tracking of clinicians relationship to and responsibility for a patient by reporting MACRA patient relationship codes.
IA_EC_PSPA_13 Participation in Joint Commission Evaluation Initiative
IA_EC_CC_8 Implementation of documentation improvements for practice/process improvements
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_PM_7 Use of QCDR for feedback reports that incorporate population health
IA_EC_PM_11 Regular Review Practices in Place on Targeted Patient Population Needs
IA_EC_PSPA_2 Participation in MOC Part IV
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_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PSPA_12 Participation in private payer CPIA
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_8 Use of Patient Safety Tools
IA_EC_PSPA_28 Completion of an Accredited Safety or Quality Improvement Program
IA_EC_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements