Ms. Rasha M Ghurani

Infectious Disease Baylor Scott And White Medical Center Lake Pointe NPI1699741785

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 93

 

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

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_ERP_3 COVID-19 Clinical Data Reporting with or without Clinical Trial
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
IA_EC_PSPA_31 Patient Medication Risk Education
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 78 1 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 60 179 3 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 14 44 1 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 29 286 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94 524 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 93 190 4 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 37 43 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 144 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81 144 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 35 85 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 17 374 2 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 33 24 2 98 EHR
PI_EC_EP_1 e-Prescribing 99 1601 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_PHCDRR_1 Immunization Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 63 290 3 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting