Dr. Christopher S. Danielson

Cottage Hospital NPI1881643203

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.16 out of 100

Score Breakdown

Quality Category Score 93.52
PI Category Score 85

 

IA Category Score 40
Cost Category Score 0
Total Patients: 0
Source of Scores: individual, 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_2 Tobacco use
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_18 Measurement and Improvement at the Practice and Panel Level
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 61 51 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 30 207 2 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 57 108 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 67 229 3 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 519 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 23 368 1 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 50 22 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 69 188 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 63 188 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 146 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 3 190 4 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 16 190 1 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 26 268 2 64 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 71 476 3 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis