Dr. Sumeet Kumar Chhabra

Clinical Cardiac Electrophysiology Baylor Scott & White The Heart Hospital - Plano NPI1548479827

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 99.51
PI Category Score 95

 

IA Category Score 40
Cost Category Score 0
Total Patients: 156
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_BMH_2 Tobacco use
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_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 79 198 3 100 REG
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 95 116 EHR
MIPS_EC_005_overall Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 81 69 EHR
MIPS_EC_008_overall Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 93 68 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 99 157 EHR
MIPS_EC_047_overall Advance Care Plan 74 1131 3 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92 2821 4 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 87 157 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 87 1350 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 1100 5 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 48 46 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 73 867 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85 1349 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 23 1247 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 12 1100 1 100 EHR
PI_EC_EP_1 e-Prescribing 98 1696 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 86 1799 4 99 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_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting