Dr. Kunjan A Bhatt Investigator

Advanced Heart Failure and Transplant Cardiology St David's Medical Center NPI1770668758

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 125
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_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_005_overall Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 90 51 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 52 61 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 100 34 EHR
MIPS_EC_008_overall Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 100 48 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 71 482 4 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 85 61 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 89 1244 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 72 333 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 29 484 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 89 552 4 100 EHR