Kanan H. Bhatt

Family Capital Health Regional Medical Center NPI1538701313

Performance

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_4 Depression screening
IA_EC_BMH_2 Tobacco use
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 40 281 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 50 1 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 13 946 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 44 232 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 25 515 2 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 2 281 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 28 708 2 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 76 281 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 80 677 4 96 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92 2844 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 68 990 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 57 990 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 50 220 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 35 560 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 5 765 1 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 48 463 2 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 143 3 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 143 1 100 EHR
MIPS_EC_370_18+ Depression Remission at Twelve Months 24 25 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 5 723 1 88 EHR