Luis Fernando Gimenez

Nephrology Johns Hopkins Hospital, The NPI1366448052

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 99.78
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 49
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 23 52 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 87 167 4 98 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 94 233 5 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 98 52 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 17 126 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 17 126 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 78 192 EHR
PI_EC_EP_1 e-Prescribing 98 268 4 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_ONCDIR_1 ONC Direct Review Attestation
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_PEA_1 Provide Patients Electronic Access to Their Health Information 99 392 4 100 ATT
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis