Krystle M Hajek

Chi Health St. Mary's NPI1598339939

Performance

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_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 0 131 1 100 REG
MIPS_EC_047_overall Advance Care Plan 71 438 3 100 REG
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 83 151 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 36 453 2 100 REG
MIPS_EC_050_overall Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older 44 63 2 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 46 199 2 99 REG
MIPS_EC_112_overall Breast Cancer Screening 0 130 1 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 55 431 3 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 47 726 2 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94 834 4 100 REG
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 737 1 100 REG
MIPS_EC_182_overall Functional Outcome Assessment 0 893 REG
MIPS_EC_181_overall Elder Maltreatment Screen and Follow-Up Plan 0 438 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 166 4 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 27 722 2 100 REG
MIPS_EC_400_overall One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk 0 44 1 97 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 46 166 2 100 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 46 166 REG
PI_EC_EP_1 e-Prescribing 98 647 4 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
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_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 36 840 1 100 REG
PI_EC_PPHI_1 Security Risk Analysis