Mohammad Afzal Khan

Chi St. Lukes' Brazosport Hospital NPI1417063702

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

69.82 out of 100

Score Breakdown

Quality Category Score 56.07
PI Category Score 0

 

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

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_PSPA_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
IA_EC_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
IA_EC_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements
MIPS_EC_047_overall Advance Care Plan 97 627 4 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 894 5 100 REG