Dr. Surendra Babu Gudapati

Cardiovascular Disease El Camino Hospital NPI1245262716

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 172
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PSPA_30 PCI Bleeding Campaign
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 55 230 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 79 61 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 34 932 2 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 63 795 3 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 21 283 1 93 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 84 1647 4 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 15 797 1 92 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 7 1597 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 31 5 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 3228 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 960 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 960 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 73 869 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 795 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 46 1436 3 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 19 306 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 6 795 1 100 EHR
PI_EC_EP_1 e-Prescribing 98 1173 4 100 ATT
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 92 735 4 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 634 5 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis