Dr. Mark A Nelson

Neurology Mount Sinai South Nassau NPI1922084409

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

86.22 out of 100

Score Breakdown

Quality Category Score 78.01
PI Category Score 80

 

IA Category Score 40
Cost Category Score 0
Total Patients: 122
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 29 EHR
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 56 2623 3 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 4866 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 18 97 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 1440 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94 1440 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 11 1229 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 22 67 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 2 2462 1 64 EHR
PI_EC_EP_1 e-Prescribing 81 928 1 100 ATT
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 47 43 3 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 43 898 2 100 ATT
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis