Padmaja M Patel

Rehabilitation, Cardiac Facilities Midland Memorial Hospital NPI1861408890

Performance

Public Reporting for Performance Scores

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Final MIPS Score

94.65 out of 100

Score Breakdown

Quality Category Score 84.54
PI Category Score 97

 

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_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 45 252 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_047_overall Advance Care Plan 16 152 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 16 460 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 56 258 3 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 10 252 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 56 421 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 80 252 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 31 713 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 89 1438 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 8 610 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 43 40 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 88 546 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 60 402 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 10 144 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84 546 EHR
MIPS_EC_309_overall Cervical Cancer Screening 47 330 2 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 24 731 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 48 144 2 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 14 74 1 88 EHR
PI_EC_EP_1 e-Prescribing 94 248 3 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 88 833 4 99 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis