Michael Kevin Engelken

Holton Community Hospital NPI1972602514

Performance

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 26 1 89 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 25 52 EHR
MIPS_EC_047_overall Advance Care Plan 37 107 2 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 41 268 2 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 25 52 2 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 40 151 2 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 62 65 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 81 52 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 33 358 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 696 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 50 309 3 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 51 55 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 295 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 104 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 55 134 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 79 87 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 29 87 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 40 87 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 295 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 28 433 2 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 58 97 3 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 25 104 2 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 28 82 2 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 94 992 3 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 53 504 3 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis