Dr. Raghav Love Seth

Cardiovascular Disease Steward North Shore Medical Center NPI1194799387

Performance

Public Reporting for Performance Scores

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Final MIPS Score

97.10 out of 100

Score Breakdown

Quality Category Score 87.50
PI Category Score 94

 

IA Category Score 40
Cost Category Score 0
Total Patients: 110
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_9 Unhealthy Alcohol Use for Patients with Co-occurring Conditions of Mental Health and Substance Abuse and Ambulatory Care Patients
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PM_2 Anticoagulant Management Improvements
IA_EC_EPA_2 Use of telehealth services that expand practice access
IA_EC_PSPA_26 Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event
IA_EC_PSPA_27 Invasive Procedure or Surgery Anticoagulation Medication Management
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 106 EHR
IA_EC_PSPA_22 CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 71 106 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 1598 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 24 591 1 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 15 415 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 84 309 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 14 415 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 30 543 2 64 EHR
PI_EC_EP_1 e-Prescribing 100 1302 5 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 82 605 4 100 ATT
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion