Dr. Bill K Chang

Vascular Surgery Hca Houston Healthcare Clear Lake NPI1043321698

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

63.44 out of 100

Score Breakdown

Quality Category Score 45.88
PI Category Score 98

 

IA Category Score 30
Cost Category Score 0
Total Patients: 70
Source of Scores: individual, group

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_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 99 430 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 35 668 2 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 69 360 3 99 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 95 1284 4 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 84 657 4 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 63 4 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 47 1212 2 100 REG
PI_EC_EP_1 e-Prescribing 100 49 5 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 98 375 4 100 REG
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting