Dr. Brian K. Daines

Canyon Vista Medical Center NPI1962517656

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

77.95 out of 100

Score Breakdown

Quality Category Score 62.90
PI Category Score 85

 

IA Category Score 40
Cost Category Score 0
Total Patients: 109
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_4 Depression screening
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 84 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 81 93 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 12 353 1 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 981 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 29 713 2 88 EHR
PI_EC_EP_1 e-Prescribing 95 198 3 100 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 61 1850 3 99 EHR
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting