Richard Brian Thoma

Pain Medicine Grandview Medical Center NPI1437371994

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.64 out of 100

Score Breakdown

Quality Category Score 88.06
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 65
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_6 Provide Education Opportunities for New Clinicians
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_2 Tobacco use
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_BMH_4 Depression screening
IA_EC_CC_19 Tracking of clinicians relationship to and responsibility for a patient by reporting MACRA patient relationship codes.
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_CC_8 Implementation of documentation improvements for practice/process improvements
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_11 Regular Review Practices in Place on Targeted Patient Population Needs
IA_EC_PM_7 Use of QCDR for feedback reports that incorporate population health
IA_EC_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
IA_EC_PSPA_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_8 Use of Patient Safety Tools
IA_EC_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 70 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 56 1394 3 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 190 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 4 1276 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79 155 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 59 1395 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 57 1393 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 43 417 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 16 780 2 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 15 2197 1 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 26 273 2 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 93 4569 2 100 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_LVPP_1 e-Prescribing Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 76 224 4 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting
QCDR_EC_AQI62_overall Obstructive Sleep Apnea: Patient Education 100 257 QCDR