Robert Stanley Rosen

Northshore University Healthsystem - Evanston Hospital NPI1639187719

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

75.57 out of 100

Score Breakdown

Quality Category Score 60.86
PI Category Score 68

 

IA Category Score 40
Cost Category Score 0
Total Patients: 33
Source of Scores: individual

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_18 Measurement and Improvement at the Practice and Panel Level
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_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 1 232 1 100 REG
MIPS_EC_047_overall Advance Care Plan 0 392 1 100 REG
MIPS_EC_112_overall Breast Cancer Screening 37 214 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 58 405 3 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 29 1431 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 364 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 364 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 50 46 EHR
MIPS_EC_309_overall Cervical Cancer Screening 1 177 1 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 383 4 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 29 383 2 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 10 164 1 88 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_EP_1 e-Prescribing 96 982 3 100 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 20 827 1 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis