Dr. Kurt M Eichholz

Mercy Hospital South NPI1053323915

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

98.17 out of 100

Score Breakdown

Quality Category Score 91.85
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 30
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_PM_16 Implementation of medication management practice improvements
MIPS_EC_047_overall Advance Care Plan 99 448 4 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 71 355 3 99 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99 972 4 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 1332 4 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79 29 4 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 84 1328 4 100 REG
MIPS_EC_358_overall Patient-Centered Surgical Risk Assessment and Communication 98 309 4 100 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 93 268 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 93 268 4 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_EP_1 e-Prescribing 96 93 4 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 366 4 100 REG
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting