Dr. Rahat Salamat

Valley Hospital NPI1629173240

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

80 out of 100

Score Breakdown

Quality Category Score 99.50
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 35
Source of Scores: apm, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 32 268 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 85 39 EHR
MIPS_EC_112_overall Breast Cancer Screening 68 410 3 93 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 51 1377 3 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 26 268 2 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 37 1583 2 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 268 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 70 1365 3 96 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 2917 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 1549 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 1549 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 651 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 81 952 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94 88 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 70 389 3 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 46 1289 3 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 73 651 3 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 14 98 1 88 EHR
PI_EC_EP_1 e-Prescribing 97 2069 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 93 1902 4 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting