Dr. Gary E Brandt

Sacred Heart University District NPI1871571703

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.36 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 80

 

IA Category Score 40
Cost Category Score 0
Total Patients: 88
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PCMH Electronic submission of Patient Centered Medical Home accreditation
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 7 266 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 85 1016 5 85 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 90 1007 4 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 74 266 3 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 79 412 4 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 96 266 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 71 1773 3 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 3306 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 1315 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 72 1067 4 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 1315 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 92 25 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 94 4 100 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 88 25 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 78 793 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 31 1369 2 64 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 88 25 EHR
MIPS_EC_309_overall Cervical Cancer Screening 76 259 4 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 100 952 5 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 3 952 4 100 EHR
MIPS_EC_281_overall Dementia: Cognitive Assessment 0 26 1 94 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 42 1425 3 79 EHR
PI_EC_EP_1 e-Prescribing 66 13361 1 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 64 1837 3 99 EHR
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting