Sarah A Harvey

University Health System, Inc NPI1912321589

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 92

 

IA Category Score 40
Cost Category Score 0
Total Patients: 23
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_2 Use of telehealth services that expand practice access
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_111_overall Pneumococcal Vaccination Status for Older Adults 96 302 4 99 REG
MIPS_EC_093_overall Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy Avoidance of Inappropriate Use 100 35 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 76 800 4 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 1090 4 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 70 20 3 100 REG
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 14 28 4 100 REG
PI_EC_EP_1 e-Prescribing 91 408 2 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 88 379 4 100 REG
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
QCDR_EC_AAO23_overall Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines 77 381 4 88 QCDR
QCDR_EC_AAO24_overall Allergic Rhinitis: Avoidance of Leukotriene Inhibitors 100 220 QCDR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting