Mohsin K Bajwa

Pulmonary Disease St Luke's Hospital At The Vintage NPI1497743462

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 97.17
PI Category Score 91

 

IA Category Score 40
Cost Category Score 0
Total Patients: 102
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_052_overall Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy 100 293 5 100 REG
MIPS_EC_047_overall Advance Care Plan 100 311 5 100 REG
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 100 357 5 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 59 639 3 99 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 34 330 2 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100 1034 5 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 659 5 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2153 5 100 REG
MIPS_EC_277_overall Sleep Apnea: Severity Assessment at Initial Diagnosis 75 77 4 100 REG
MIPS_EC_279_overall Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy 100 73 REG
PI_EC_EP_1 e-Prescribing 13 1634 1 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 1138 5 100 REG
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis