Kian Ehsan

Cardiovascular Disease Acadian Medical Center NPI1639349921

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.66 out of 100

Score Breakdown

Quality Category Score 99.54
PI Category Score 88.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 96
Source of Scores: individual

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_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PM_2 Anticoagulant Management 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_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 88 34 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 99 275 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 2 826 1 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 1 275 1 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 2 373 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 11 767 1 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 80 275 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 22 1453 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2929 5 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1181 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 80 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 836 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 836 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 67 908 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 28 564 2 64 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 835 5 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 666 1 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 23 273 2 88 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_EP_1 e-Prescribing 99 749 4 100 EHR
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 803 4 100 ATT
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis