David Y Lee

Neurology Saint Francis Medical Center NPI1861505703

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.18 out of 100

Score Breakdown

Quality Category Score 96.56
PI Category Score 81.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 20
Source of Scores: group, individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99 794 5 98 EHR
MIPS_EC_154_overall Falls: Risk Assessment 24 109 REG
MIPS_EC_155_overall Falls: Plan of Care 100 111 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2492 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 631 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 2 318 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 631 4 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 142 EHR
MIPS_EC_281_overall Dementia: Cognitive Assessment 95 38 5 94 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 18 2172 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 100 318 5 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 100 36 5 88 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 97 58 4 100 REG
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 100 110 5 100 REG
PI_EC_EP_1 e-Prescribing 100 2256 5 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 73 872 3 100 REG
PI_EC_PPHI_1 Security Risk Analysis