Dr. Robert Allyn Duensing

Memorialcare Saddleback Medical Center NPI1366462756

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.60 out of 100

Score Breakdown

Quality Category Score 85.45
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 50
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 488 1 85 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 40 1160 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 2776 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 56 740 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54 740 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 719 5 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 23 2683 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 7 128 1 88 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 68 1218 3 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis