Dr. Santa Kerzuma

Sherman Oaks Hospital NPI1801157235

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

79.05 out of 100

Score Breakdown

Quality Category Score 63.58
PI Category Score 0

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 73 60 3 100 REG
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 79 62 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 34 65 2 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 34 101 2 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 87 61 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 24 315 1 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 47 254 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 37 254 2 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 57 58 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 6 131 4 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 49 128 2 100 EHR