Carla Gaul

Medical NPI1861040362

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

11.15 out of 100

Score Breakdown

Quality Category Score 15
PI Category Score 0

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PSPA_31 Patient Medication Risk Education
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 27 88 EHR
IA_EC_PSPA_32 Use of CDC Guideline for Clinical Decision Support to Prescribe Opioids for Chronic Pain via Clinical Decision Support
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 103 1 89 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 11 306 1 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 88 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 85 88 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99 791 5 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 2257 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 17 491 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 95 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54 540 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 166 3 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 3 35 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 94 35 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 94 35 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 54 540 EHR
MIPS_EC_310_overall Chlamydia Screening for Women 31 39 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 56 174 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 28 1517 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 100 166 5 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 98 4380 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 82 1015 4 99 EHR
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_3_MULTI Electronic Case Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_4_MULTI Public Health Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_2_MULTI Syndromic Surveillance Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement
PI_EC_PPHI_1 Security Risk Analysis