Wael Asi Investigator

Pulmonary Disease Memorial Hermann Hospital System NPI1578551537

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: 102
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_2 Tobacco use
IA_EC_BMH_4 Depression screening
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_047_overall Advance Care Plan 100 579 5 100 REG
MIPS_EC_052_overall Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy 100 273 5 100 REG
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 100 439 5 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 67 438 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 94 840 4 99 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100 1377 5 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2461 5 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 727 5 100 REG
MIPS_EC_277_overall Sleep Apnea: Severity Assessment at Initial Diagnosis 64 160 3 100 REG
MIPS_EC_279_overall Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy 100 42 REG
PI_EC_EP_1 e-Prescribing 10 1759 1 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 1504 5 100 REG
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis