Nida Malik

Advocate Sherman Hospital NPI1992142483

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.51 out of 100

Score Breakdown

Quality Category Score 83.87
PI Category Score 0

 

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

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_BMH_4 Depression screening
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_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 30 20 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 44 112 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 52 27 3 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 25 20 2 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 45 38 2 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 84 116 3 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 51 83 4 64 EHR
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 88 161 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis