John M Arcia

Nephrology Providence Saint Joseph Medical Ctr NPI1932198256

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 81

 

IA Category Score 40
Cost Category Score 0
Total Patients: 44
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_17 Use of tools to assist patient self-management
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_BE_21 Improved Practices that Disseminate Appropriate Self-Management Materials
IA_EC_BE_1 Use of certified EHR to capture patient reported outcomes
IA_EC_BE_3 Engagement with QIN-QIO to implement self-management training programs
IA_EC_BE_24 Financial Navigation Program
IA_EC_AHE_3 Promote Use of Patient-Reported Outcome Tools
IA_EC_AHE_6 Provide Education Opportunities for New Clinicians
IA_EC_BE_12 Use evidence-based decision aids to support shared decision-making.
IA_EC_BE_15 Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
IA_EC_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
IA_EC_BE_20 Implementation of condition-specific chronic disease self-management support programs
IA_EC_BE_23 Integration of patient coaching practices between visits
IA_EC_BE_25 Drug Cost Transparency
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BE_7 Participation in a QCDR, that promotes use of patient engagement tools.
IA_EC_BMH_1 Diabetes screening
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_CC_12 Care coordination agreements that promote improvements in patient tracking across settings
IA_EC_BMH_9 Unhealthy Alcohol Use for Patients with Co-occurring Conditions of Mental Health and Substance Abuse and Ambulatory Care Patients
IA_EC_CC_11 Care transition standard operational improvements
IA_EC_BMH_2 Tobacco use
IA_EC_BMH_8 Electronic Health Record Enhancements for BH data capture
IA_EC_BMH_4 Depression screening
IA_EC_BMH_6 Implementation of co-location PCP and MH services
IA_EC_CC_10 Care transition documentation practice improvements
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_CC_8 Implementation of documentation improvements for practice/process improvements
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PM_4 Glycemic management services
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PM_19 Glycemic Screening Services
IA_EC_PSPA_31 Patient Medication Risk Education
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 79 162 EHR
IA_EC_PSPA_32 Use of CDC Guideline for Clinical Decision Support to Prescribe Opioids for Chronic Pain via Clinical Decision Support
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 6 356 1 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 98 162 4 100 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 10 450 1 98 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 26 680 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 19 1699 1 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 632 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 8 520 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 8 520 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 81 391 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 450 1 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 450 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 26 400 2 64 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 2 1070 1 100 ATT
PI_EC_EP_1 e-Prescribing 100 1701 5 100 ATT
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 680 5 100 ATT
PI_EC_PHCDRR_4 Public Health Registry Reporting