Dr. Jonathan R Henning

Saunders Medical Center NPI1518120823

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

80.82 out of 100

Score Breakdown

Quality Category Score 80.52
PI Category Score 66.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 52
Source of Scores: individual, apm

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_BMH_2 Tobacco use
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
MIPS_EC_047_overall Advance Care Plan 67 535 3 100 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 0 93 1 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 46 448 2 99 REG
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 20 106 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 31 528 2 100 REG
MIPS_EC_050_overall Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older 65 20 3 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 52 556 3 100 REG
MIPS_EC_112_overall Breast Cancer Screening 0 90 1 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 42 947 2 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 93 1294 4 100 REG
MIPS_EC_182_overall Functional Outcome Assessment 0 1323 REG
MIPS_EC_181_overall Elder Maltreatment Screen and Follow-Up Plan 0 533 REG
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 959 1 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 257 4 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 23 929 1 100 REG
MIPS_EC_400_overall One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk 0 149 1 97 REG
PI_EC_EP_1 e-Prescribing 86 1278 1 100 REG
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 2 126 1 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 33 1045 1 100 REG
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting