Dr. Neal S Gaither Investigator

Interventional Cardiology Winchester Medical Center NPI1003811563

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.19 out of 100

Score Breakdown

Quality Category Score 97.56
PI Category Score 86.33

 

IA Category Score 40
Cost Category Score 0
Total Patients: 208
Source of Scores: group, individual, apm

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
MIPS_EC_005_overall Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 79 24 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 97 76 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 39 110 EHR
MIPS_EC_008_overall Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 100 21 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 66 492 4 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 73 521 3 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 50 412 3 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 43 139 2 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 20 110 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 90 110 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 1199 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 31 36 2 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 1 601 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 282 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 87 282 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 7 521 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 64 560 EHR
MIPS_EC_309_overall Cervical Cancer Screening 16 75 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 84 521 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 14 37 1 88 EHR
MIPS_EC_475_overall HIV Screening 9 283 2 33 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 21 149 2 64 EHR
MIPS_EC_472_overall Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 6 36 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 14 321 1 100 ATT
PI_EC_EP_1 e-Prescribing 100 620 5 100 ATT
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 408 5 100 ATT
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis