Michael Carey

Oswego Hospital NPI1922587963

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 85

 

IA Category Score 40
Cost Category Score 0
Total Patients: 115
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 29 322 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 72 1101 4 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 43 781 2 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 54 378 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 96 322 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 33 854 2 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 322 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 90 2440 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 35 147 2 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 0 1466 1 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1140 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 17 1052 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 24 1052 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 72 1011 EHR
MIPS_EC_281_overall Dementia: Cognitive Assessment 0 21 1 94 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 781 1 100 EHR
MIPS_EC_472_overall Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 8 168 EHR
MIPS_EC_309_overall Cervical Cancer Screening 0 281 1 98 EHR
MIPS_EC_475_overall HIV Screening 10 784 2 33 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 781 5 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 24 525 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 4 224 1 88 EHR
PI_EC_EP_1 e-Prescribing 98 1175 4 100 ATT
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 30 43 2 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 95 482 4 100 ATT
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement