Mohammad Luay Alkotob

Cardiovascular Disease Hurley Medical Center NPI1598792830

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 88.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 108
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_6 Provide Education Opportunities for New Clinicians
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PSPA_15 Implementation of an ASP
IA_EC_PSPA_29 Consulting AUC Using Clinical Decision Support when Ordering Advanced
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 56 169 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 54 600 3 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 73 410 3 98 EHR
MIPS_EC_112_overall Breast Cancer Screening 22 203 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 27 455 2 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 84 169 4 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 7 169 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 40 857 2 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 78 583 4 96 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 1757 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 526 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 61 79 3 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92 526 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 410 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 73 569 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 91 410 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 29 146 2 98 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 16 131 1 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 100 1051 5 100 EHR
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 75 777 4 98 EHR
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 94 897 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_2 Syndromic Surveillance Reporting
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PPHI_1 Security Risk Analysis