Youssef S Rizk

Vascular Surgery Ascension Macomb Oakland Hosp-Warren Campus NPI1720080385

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

67.38 out of 100

Score Breakdown

Quality Category Score 72.5
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 114
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_1 Use of certified EHR to capture patient reported outcomes
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 100 23 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 53 196 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 48 548 3 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 36 444 2 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 88 196 4 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 31 205 2 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 11 196 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 1276 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 29 615 2 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 304 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 74 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 304 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 64 433 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 12 513 3 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 24 169 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0 331 1 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 42 513 2 100 EHR
MIPS_EC_475_overall HIV Screening 11 382 2 33 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 0 162 1 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
MIPS_EC_472_overall Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 0 70 EHR
PI_EC_EP_1 e-Prescribing 99 256 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 928 5 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis