Raymond N Fernandez Investigator

Cardiovascular Disease Marshall Medical Centers NPI1699774141

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.39 out of 100

Score Breakdown

Quality Category Score 93.15
PI Category Score 66

 

IA Category Score 40
Cost Category Score 0
Total Patients: 152
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_8 Implementation of documentation improvements for practice/process improvements
IA_EC_CC_12 Care coordination agreements that promote improvements in patient tracking across settings
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 285 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 98 1476 5 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 4399 5 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 68 209 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 37 1245 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 31 1245 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 68 1037 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 789 5 100 EHR
PI_EC_EP_1 e-Prescribing 91 2680 3 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 38 1499 2 100 ATT
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis