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Raed A Al-Naser

Grossmont Hospital NPI1770589293
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Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 89.46
PI Category Score 88

 

IA Category Score 40
Cost Category Score 0
Total Patients: 74
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_BE_25 Drug Cost Transparency
IA_EC_CC_17 Patient Navigator Program
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_PM_7 Use of QCDR for feedback reports that incorporate population health
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
IA_EC_PSPA_31 Patient Medication Risk Education
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 98 404 5 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 87 637 5 85 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92 2640 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 15 120 1 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 760 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 499 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 760 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 404 5 100 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 100 4131 5 100 ATT
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 100 26 5 100 ATT
PI_EC_EP_1 e-Prescribing 100 4131 5 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 71 1065 3 100 ATT
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting