Gauri Badhwar Sharma

Hematology John Muir Medical Center - Walnut Creek Campus NPI1528234002

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 95.49
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 17
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 97 201 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 8 504 1 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 0 159 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 11 232 1 92 EHR
MIPS_EC_143_overall Oncology: Medical and Radiation Pain Intensity Quantified 99 145 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 87 1453 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 445 1 96 EHR
MIPS_EC_144_overall Oncology: Medical and Radiation - Plan of Care for Pain 100 29 5 100 REG
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 361 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 361 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 95 41 3 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 96 271 4 100 REG
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion