Bakht Roshan

Infectious Disease Madera Community Hospital NPI1639201502

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

90.23 out of 100

Score Breakdown

Quality Category Score 65.84
PI Category Score 97

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_047_overall Advance Care Plan 90 103 4 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 0 114 1 99 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 17 215 1 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 53 618 1 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 24 449 1 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_EP_1 e-Prescribing 100 39 5 100 REG
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 68 4 100 REG
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis