Dr. Maireni R Cruz

Athol Memorial Hospital NPI1821228727

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.73 out of 100

Score Breakdown

Quality Category Score 86.62
PI Category Score 76.87

 

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

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_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 44 89 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 3 89 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 57 279 3 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 17 638 1 98 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 74 297 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 31 551 2 64 EHR