Aalok Vilas Malankar

Reading Hospital NPI1124265087

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

96.24 out of 100

Score Breakdown

Quality Category Score 91.74
PI Category Score 83.28

 

IA Category Score 40
Cost Category Score 0
Total Patients: 48
Source of Scores: individual, apm

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_4 Depression screening
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_13 Chronic Care and Preventative Care Management for Empaneled Patients
IA_EC_EPA_2 Use of telehealth services that expand practice access
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 42 284 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 1 89 1 89 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 59 413 3 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 27 912 2 85 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 94 1226 4 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 52 326 3 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 40 284 2 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 284 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 39 687 2 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94 3685 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 70 126 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 1180 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 44 1162 2 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 1180 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 74 465 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 5 413 4 100 EHR
MIPS_EC_281_overall Dementia: Cognitive Assessment 28 36 2 94 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100 20 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 20 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 5 20 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 40 413 2 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 24 446 1 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 38 1607 3 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 0 58 1 88 EHR
MIPS_EC_379_overall Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists 0 39 EHR
PI_EC_EP_1 e-Prescribing 96 6289 3 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 13 99 1 79 EHR
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 48 1450 2 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_2 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis