Dr. Rakhshanda Neelam

Vista Medical Center East NPI1245217611

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 47
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_047_overall Advance Care Plan 100 240 5 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 25 256 2 85 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 26 383 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 1146 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 99 371 5 96 EHR
MIPS_EC_144_overall Oncology: Medical and Radiation - Plan of Care for Pain 16 75 1 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 20 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 75 215 EHR
MIPS_EC_143_overall Oncology: Medical and Radiation Pain Intensity Quantified 98 381 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 75 215 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 58 24 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 3 240 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 100 29 5 88 EHR
PI_EC_EP_1 e-Prescribing 97 98 4 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 95 193 4 100 REG
QCDR_EC_PIMSH4_overall Oncology: Patient-reported pain improvement 48 62 QCDR
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
QCDR_EC_PIMSH1_overall Oncology: Advance Care Planning in metastatic cancer patients 91 32 5 75 QCDR