Dr. Daniel Christian Hobbs

Cardiovascular Disease Winchester Medical Center NPI1922418185

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.07 out of 100

Score Breakdown

Quality Category Score 99.04
PI Category Score 80

 

IA Category Score 40
Cost Category Score 0
Total Patients: 29
Source of Scores: group, individual

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_CC_2 Implementation of improvements that contribute to more timely communication of test results
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 39 99 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 100 23 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 52 397 3 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 67 334 3 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 41 158 2 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 90 99 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 46 402 3 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 18 99 1 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1053 5 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 1 569 1 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 56 32 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 205 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 205 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 60 442 EHR
MIPS_EC_472_overall Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 3 63 EHR
MIPS_EC_309_overall Cervical Cancer Screening 18 150 1 98 EHR
MIPS_EC_475_overall HIV Screening 17 454 3 33 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 334 3 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 22 621 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 88 334 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 15 317 1 88 EHR
PI_EC_EP_1 e-Prescribing 98 168 4 100 ATT
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 19 217 1 100 ATT
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_1_MULTI Immunization Registry Reporting for Multiple Registry Engagement
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 261 5 100 ATT
PI_EC_PPHI_1 Security Risk Analysis