Cheryl Catalan

Acute Care Sherman Oaks Hospital NPI1275089641

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 98.50
PI Category Score 0

 

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_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 41 101 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 75 134 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 38 214 2 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 96 136 5 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 100 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 79 488 3 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80 456 4 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 7 267 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 83 456 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79 104 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 97 260 4 100 EHR