Dr. Leon R Brill

Foot & Ankle Surgery Texas Health Presbyterian Hospital Dallas NPI1992762280

Performance

Public Reporting for Performance Scores

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Final MIPS Score

86.68 out of 100

Score Breakdown

Quality Category Score 70.94
PI Category Score 96

 

IA Category Score 40
Cost Category Score 0
Total Patients: 68
Source of Scores: group

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_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 185 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 79 185 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 26 1522 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 26 763 2 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 68 371 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 67 371 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 468 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 50 244 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 39 468 2 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 98 979 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 30 808 2 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis