Dr. Sean Michael Rhuland

Cardiovascular Disease North Alabama Medical Center NPI1356348932

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

94.93 out of 100

Score Breakdown

Quality Category Score 84.90
PI Category Score 96

 

IA Category Score 40
Cost Category Score 0
Total Patients: 305
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_2 Tobacco use
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 94 200 EHR
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 83 88 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2388 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 67 950 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 1 834 4 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 18 153 1 98 EHR
PI_EC_EP_1 e-Prescribing 99 3266 4 100 EHR
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 91 1272 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting