Berj Dermendjian

Sherman Oaks Hospital NPI1225488851

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

90.82 out of 100

Score Breakdown

Quality Category Score 79.78
PI Category Score 0

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 44 43 EHR
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 66 50 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 51 57 3 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 93 43 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 86 188 3 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78 179 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80 179 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 83 36 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 9 102 3 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 98 99 4 100 EHR