Dr. Gregory Garo Bashian Investigator

Cardiovascular Disease Tristar Centennial Medical Center NPI1487854311

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

90.24 out of 100

Score Breakdown

Quality Category Score 84.02
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 200
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
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_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 45 94 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 83 24 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 16 1016 1 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 88 94 4 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 21 271 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 34 707 2 92 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 37 27 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 315 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 62 464 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 315 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 71 24 4 88 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 92 864 4 100 EHR