Marwan R Salfity Investigator

Cardiovascular Disease The Nebraska Methodist Hospital NPI1053361824

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 328
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BMH_2 Tobacco use
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_7 Use of QCDR for feedback reports that incorporate population health
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 98 228 EHR
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 77 817 3 100 REG
MIPS_EC_047_overall Advance Care Plan 0 1295 1 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 82 158 4 100 EHR
MIPS_EC_118_overall Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) 85 149 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 97 2083 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99 4777 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84 1420 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 75 1419 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 7 769 1 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 1268 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 77 1571 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 39 1199 3 64 EHR
PI_EC_EP_1 e-Prescribing 97 767 4 100 ATT
MIPS_EC_326_overall Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy 81 414 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_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 98 903 4 100 ATT
PI_EC_PPHI_1 Security Risk Analysis
QCDR_EC_ACCPIN7_overall Peripheral Artery Disease: Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk 65 34 QCDR
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_5 Clinical Data Registry Reporting