Dr. Diana Superfin

Hematology & Oncology John Muir Medical Center - Walnut Creek Campus NPI1750365953

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 50
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_047_overall Advance Care Plan 97 529 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 16 875 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 0 311 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 22 431 1 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94 2507 4 100 EHR
MIPS_EC_143_overall Oncology: Medical and Radiation Pain Intensity Quantified 96 446 4 100 EHR
MIPS_EC_144_overall Oncology: Medical and Radiation - Plan of Care for Pain 100 67 5 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81 21 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 533 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 776 1 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 533 EHR
PI_EC_EP_1 e-Prescribing 100 109 5 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 444 4 100 REG
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis