Michael Paul Bernstein

Cardiovascular Disease St Peter's Hospital NPI1356345326

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

75.60 out of 100

Score Breakdown

Quality Category Score 53.46
PI Category Score 92

 

IA Category Score 40
Cost Category Score 0
Total Patients: 210
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_14 Engage Patients and Families to Guide Improvement in the System of Care
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_29 Consulting AUC Using Clinical Decision Support when Ordering Advanced
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 98 1975 5 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 90 3852 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91 69 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 1101 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 1101 EHR
PI_EC_EP_1 e-Prescribing 100 1571 5 100 REG
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 80 947 3 100 REG
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting