Moh'd Al-Halawani

Pulmonary Disease Hutchinson Regional Medical Center Inc NPI1003204629

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

86.37 out of 100

Score Breakdown

Quality Category Score 77.52
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 24
Source of Scores: individual

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_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 29 217 2 85 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 40 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 14 411 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 684 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 1 214 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 1 214 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 145 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 50 112 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 145 1 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 21 380 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 9 106 1 88 EHR