Dr. Martin J. Frey

Cardiovascular Disease Plantation General Hospital NPI1164424719

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

84.31 out of 100

Score Breakdown

Quality Category Score 71.37
PI Category Score 70

 

IA Category Score 40
Cost Category Score 0
Total Patients: 11
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 90 31 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 3 294 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 3 98 1 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 74 31 3 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 6 260 1 92 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 49 181 EHR
MIPS_EC_309_overall Cervical Cancer Screening 3 102 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 14 394 1 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 68 304 3 100 EHR