Lance E Saville

Ascension Via Christi Hospital Manhattan, Inc NPI1851389886

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

98.54 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 83

 

IA Category Score 40
Cost Category Score 0
Total Patients: 16
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 91 23 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 3 40 1 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 23 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 43 23 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 13 76 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 137 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 50 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 5 55 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 4 55 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 68 25 EHR
MIPS_EC_309_overall Cervical Cancer Screening 0 59 1 98 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 22 74 1 99 EHR
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting