Manoj Kumar Mehta Investigator

Northshore University Healthsystem - Evanston Hospital NPI1962495200

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: 34
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 41 41 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 65 803 4 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 85 496 4 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 96 448 5 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 46 41 2 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 75 197 4 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 45 776 2 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 80 41 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 16 626 1 96 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 87 967 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 137 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 137 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 57 203 EHR
MIPS_EC_309_overall Cervical Cancer Screening 22 123 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 25 717 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 12 496 1 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 9 496 3 100 EHR