Shaun P Kaiser

Texas Health Presbyterian Hospital Dallas NPI1538327150

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 90.15
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 32
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_047_overall Advance Care Plan 100 343 5 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100 398 5 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 98 129 4 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1318 5 100 REG
PI_EC_EP_1 e-Prescribing 93 307 3 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
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 99 161 4 100 REG
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis