Dr. James Patrick O'neal

Hca Houston Healthcare Conroe NPI1376527218

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

86.35 out of 100

Score Breakdown

Quality Category Score 79.21
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 75
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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 56 48 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 58 48 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 602 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 602 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 76 401 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 18 94 1 100 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 401 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 401 EHR
MIPS_EC_310_overall Chlamydia Screening for Women 30 20 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 192 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 19 2195 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 78 762 4 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 78 197 4 88 EHR