Dr. Romas Joseph Kirvaitis

Cardiovascular Disease Chandler Regional Medical Center NPI1174791636

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.25 out of 100

Score Breakdown

Quality Category Score 92.82
PI Category Score 91

 

IA Category Score 40
Cost Category Score 0
Total Patients: 33
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_BMH_2 Tobacco use
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 70 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 83 30 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 3 172 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 3 91 1 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 70 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 70 70 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 24 466 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 924 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 465 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 15 20 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 314 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 314 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 49 243 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 207 5 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 0 100 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 2 207 1 100 EHR
PI_EC_EP_1 e-Prescribing 99 156 4 100 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_PEA_1 Provide Patients Electronic Access to Their Health Information 61 196 3 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis