Dr. Douglas M Hoy

Bellevue Hospital NPI1437139755

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: 70
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 58 346 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 70 550 3 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 75 810 4 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 54 470 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 30 973 2 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 87 2407 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 73 6117 2 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 99 2182 5 96 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 348 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 1600 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 1600 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 42 835 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 550 3 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 95 550 4 100 EHR
PI_EC_EP_1 e-Prescribing 97 6075 4 100 ATT
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 88 125 4 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 100 26 5 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 1769 5 100 ATT
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PPHI_1 Security Risk Analysis