Mike Sebastian

Deaconess Hospital Inc NPI1043269624

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.66 out of 100

Score Breakdown

Quality Category Score 82.06
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 76
Source of Scores: individual, group

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_EPA_2 Use of telehealth services that expand practice access
IA_EC_PM_16 Implementation of medication management practice improvements
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_130_overall Documentation of Current Medications in the Medical Record 40 1186 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 77 886 4 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92 262 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92 262 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 74 298 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 19 980 2 64 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 160 5 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion