Mr. Malek H Al Omary

Tristar Southern Hills Medical Center NPI1790833267

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

85.82 out of 100

Score Breakdown

Quality Category Score 80.25
PI Category Score 77

 

IA Category Score 40
Cost Category Score 0
Total Patients: 39
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 51 151 3 79 EHR
PI_EC_EP_1 e-Prescribing 95 3863 3 100 EHR
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 910 5 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_1 Immunization Registry Reporting