Michael F Campbell

Nephrology Houston Methodist Hospital NPI1255440418

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 90

 

IA Category Score 0
Cost Category Score 0
Total Patients: 42
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 91 76 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 51 202 3 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 54 333 3 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 99 76 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25 457 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 834 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 233 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 98 407 5 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 233 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 333 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 72 317 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 31 262 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 98 333 4 100 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 49 870 2 100 ATT
PI_EC_EP_1 e-Prescribing 99 154 4 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 470 5 100 ATT
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis