Dr. Kajal P Patel

Nephrology Regional Medical Center Of San Jose NPI1366630444

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 38
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_11 Care transition standard operational improvements
IA_EC_CC_12 Care coordination agreements that promote improvements in patient tracking across settings
IA_EC_EPA_2 Use of telehealth services that expand practice access
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 68 154 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 62 414 3 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 66 374 4 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 11 119 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 9 245 1 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94 1401 4 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 24 572 1 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 1 539 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 399 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95 399 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 67 149 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 414 4 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 18 402 2 64 EHR
MIPS_EC_309_overall Cervical Cancer Screening 13 67 1 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 53 414 3 100 EHR
PI_EC_EP_1 e-Prescribing 100 401 5 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 75 395 4 100 ATT
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 380 5 100 ATT
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis