Rebecca S Sinai

NPI1699819631

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

89.96 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 57

 

IA Category Score 0
Cost Category Score 0
Total Patients: 79
Source of Scores: individual

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%) 18 220 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 41 1163 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 62 2916 1 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 65 52 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 46 1083 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 44 1083 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 486 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 26 2164 2 64 EHR
PI_EC_EP_1 e-Prescribing 97 6855 4 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 0 633 1 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_2_EX_3 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_3_EX_3 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_4_EX_3 Public Health Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 66 1242 3 100 ATT
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_EX_3 Clinical Data Registry Reporting Exclusion