Dr. Rashmi Kapur

Advocate Sherman Hospital NPI1962679498

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: 353
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_047_overall Advance Care Plan 100 1137 5 100 REG
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 100 461 5 100 REG
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 100 75 5 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 6659 5 100 REG
MIPS_EC_154_overall Falls: Risk Assessment 100 40 REG
MIPS_EC_155_overall Falls: Plan of Care 100 40 REG
PI_EC_EP_1 e-Prescribing 100 74 5 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
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_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 1164 4 100 REG
PI_EC_PPHI_1 Security Risk Analysis