Robert Edward Schall

Hillsdale Hospital NPI1598708638

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

98.08 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 76

 

IA Category Score 40
Cost Category Score 0
Total Patients: 41
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PCMH Electronic submission of Patient Centered Medical Home accreditation
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 46 160 EHR
MIPS_EC_066_overall Appropriate Testing for Pharyngitis 0 30 1 95 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 11 970 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 39 375 2 98 EHR
MIPS_EC_107_overall Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0 165 1 89 EHR
MIPS_EC_112_overall Breast Cancer Screening 0 234 1 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 97 575 5 92 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 61 160 2 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 160 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 22 1256 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92 3428 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1088 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 1032 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 55 503 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 375 4 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 98 288 EHR
MIPS_EC_309_overall Cervical Cancer Screening 1 289 1 98 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 1032 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 24 1760 2 64 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 51 288 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 2 288 EHR
MIPS_EC_475_overall HIV Screening 0 1013 1 33 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 375 1 100 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 99 6581 4 100 ATT
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 58 1694 3 100 ATT
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis