Greg A Greenberg

Shasta Regional Medical Center NPI1013927441

Performance

Public Reporting for Performance Scores

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Final MIPS Score

97.34 out of 100

Score Breakdown

Quality Category Score 89.08
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 58
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 91 137 4 100 REG
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 51 123 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 98 151 5 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 99 139 5 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 98 84 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 47 784 1 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89 330 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 330 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 57 127 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 10 266 3 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 100 170 5 100 EHR