Dr. Timothy Bhattacharyya

Orthopaedic Trauma Suburban Hospital NPI1902897036

Performance

Public Reporting for Performance Scores

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Final MIPS Score

83.97 out of 100

Score Breakdown

Quality Category Score 63.69
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 24
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
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_PM_16 Implementation of medication management practice improvements
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 53 362 3 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 22 241 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 45 203 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 62 339 3 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 37 730 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 1134 4 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 99 106 4 100 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 855 5 99 EHR
PI_EC_PHCDRR_3_EX_3 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_2 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_5_EX_3 Clinical Data Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis