Thomas Joel Berry

Interventional Pain Medicine Sterling Surgical Hospital NPI1629243431

Performance

Public Reporting for Performance Scores

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Final MIPS Score

72.24 out of 100

Score Breakdown

Quality Category Score 50.95
PI Category Score 84

 

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_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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 38 EHR
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_112_overall Breast Cancer Screening 0 392 1 93 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 20 1 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 958 1 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 0 808 1 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 38 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 7 1386 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 74 3865 2 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 10 556 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 10 60 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0 3674 1 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 13 410 1 88 EHR
PI_EC_EP_1 e-Prescribing 97 2726 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 36 1344 2 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting