Luis A Reynoso

Vhs Harlingen Hospital Company Llc NPI1063402741

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.36 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 64

 

IA Category Score 40
Cost Category Score 0
Total Patients: 100
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 69 1123 4 85 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 18 511 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 81 833 4 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 68 447 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 95 511 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 18 1921 1 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 69 900 4 92 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 54 1275 3 96 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 81 1110 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 100 1397 5 100 CLM
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 98 886 4 100 EHR
PI_EC_EP_1 e-Prescribing 99 4690 4 100 ATT
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 23 549 1 100 ATT
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 49 1211 2 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis