Tejas I. Patel

Providence Saint Joseph Medical Ctr NPI1437125770

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

80 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 86

 

IA Category Score 40
Cost Category Score 0
Total Patients: 119
Source of Scores: individual, 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_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_18 Measurement and Improvement at the Practice and Panel Level
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 34 309 EHR
MIPS_EC_047_overall Advance Care Plan 1 1044 1 100 REG
MIPS_EC_117_overall Diabetes: Eye Exam 1 309 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 16 1480 1 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 41 3157 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 65 6030 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 85 309 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 57 1021 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 5 1100 4 100 EHR
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 47 51 3 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 34 3372 3 64 EHR
PI_EC_EP_1 e-Prescribing 99 994 4 100 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 66 3470 3 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting