Hafiz Sroya

Nephrology Baptist Health Corbin NPI1639572753

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 96

 

IA Category Score 40
Cost Category Score 0
Total Patients: 72
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
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 371 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 24 544 1 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 66 307 3 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 61 653 3 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 99 371 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2389 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 42 888 EHR
MIPS_EC_309_overall Cervical Cancer Screening 24 148 1 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 544 5 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 96 373 3 100 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 29 140 2 79 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 99 431 5 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis