Philip Potena

Providence Regional Medical Center Everett NPI1700322807

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

78.23 out of 100

Score Breakdown

Quality Category Score 70.72
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 13
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
IA_EC_CC_8 Implementation of documentation improvements for practice/process improvements
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_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PSPA_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
IA_EC_PSPA_28 Completion of an Accredited Safety or Quality Improvement Program
IA_EC_PSPA_8 Use of Patient Safety Tools
QCDR_EC_AQI62_overall Obstructive Sleep Apnea: Patient Education 100 27 QCDR