Pooja Tanjavour

Nephrology Desert Valley Hospital NPI1972919983

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

70.4 out of 100

Score Breakdown

Quality Category Score 76.82
PI Category Score 0

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_11 Participation in CAHPS or other supplemental questionnaire
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 72 61 EHR
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 93 76 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 93 91 5 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 94 71 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 78 254 3 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 90 63 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79 203 4 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 11 84 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 203 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 39 69 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 99 79 4 100 EHR