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Andrew John Lepinski

York General Hospital NPI1902829989
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Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

67.31 out of 100

Score Breakdown

Quality Category Score 61.59
PI Category Score 51

 

IA Category Score 40
Cost Category Score 0
Total Patients: 62
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_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 0 45 1 100 REG
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 21 47 1 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 41 293 2 99 REG
MIPS_EC_047_overall Advance Care Plan 60 383 3 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 39 371 2 100 REG
MIPS_EC_112_overall Breast Cancer Screening 0 39 1 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 53 338 3 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 55 601 3 100 REG
MIPS_EC_181_overall Elder Maltreatment Screen and Follow-Up Plan 0 382 REG
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 605 1 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 93 761 4 100 REG
MIPS_EC_182_overall Functional Outcome Assessment 0 764 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 185 4 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 29 598 2 100 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 46 185 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 46 185 2 100 REG
MIPS_EC_400_overall One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk 0 75 1 97 REG
PI_EC_EP_1 e-Prescribing 97 529 4 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 39 706 1 100 REG
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis