Mark N Durkan

Gastroenterology Poudre Valley Hospital NPI1992801781

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 144
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_1 Use of certified EHR to capture patient reported outcomes
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_CC_2 Implementation of improvements that contribute to more timely communication of test results
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_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_21 Advance Care Planning
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 26 38 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 64 342 4 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 86 138 4 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 74 99 4 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 87 38 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 91 167 4 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 34 357 2 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 55 204 3 96 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 541 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 114 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 114 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 17 138 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 72 112 EHR
MIPS_EC_309_overall Cervical Cancer Screening 32 118 2 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 99 138 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 98 1050 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 410 5 99 EHR
PI_EC_PHCDRR_3_EX_3 Electronic Case Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_2_EX_3 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis