Mark Fesen Investigator

Medical Oncology University Of Ks Hlth System Great Bend Campus NPI1639149545

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

59.46 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 55
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_24 Financial Navigation Program
IA_EC_BE_12 Use evidence-based decision aids to support shared decision-making.
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_PM_16 Implementation of medication management practice improvements
MIPS_EC_047_overall Advance Care Plan 73 594 3 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 37 653 2 85 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92 4571 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 31 850 2 96 EHR
MIPS_EC_143_overall Oncology: Medical and Radiation Pain Intensity Quantified 99 1835 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 28 61 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 42 701 EHR
MIPS_EC_144_overall Oncology: Medical and Radiation - Plan of Care for Pain 74 697 3 100 REG
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 2 594 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 35 701 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 36 106 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 96 47 5 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 97 1002 4 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 87 689 4 100 REG
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
QCDR_EC_PIMSH4_overall Oncology: Patient-reported pain improvement 57 219 QCDR
QCDR_EC_PIMSH1_overall Oncology: Advance Care Planning in metastatic cancer patients 18 84 1 75 QCDR