Dr. Rajesh Dhairyawan

Cardiovascular Disease Hca Florida Kendall Hospital NPI1497758692

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

94.73 out of 100

Score Breakdown

Quality Category Score 89.87
PI Category Score 92

 

IA Category Score 40
Cost Category Score 0
Total Patients: 180
Source of Scores: group, individual

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_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%) 100 145 EHR
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 72 423 3 100 REG
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 93 44 EHR
MIPS_EC_005_overall Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 100 24 EHR
MIPS_EC_008_overall Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 87 23 EHR
MIPS_EC_047_overall Advance Care Plan 0 372 1 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 83 145 4 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 145 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 4 515 1 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25 803 2 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 30 37 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 1579 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 53 528 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 517 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81 517 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 22 649 2 64 EHR
PI_EC_EP_1 e-Prescribing 98 2760 4 100 EHR
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 79 818 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