Shahid Ali Investigator

Gastroenterology Memorial Hermann Hospital System NPI1881604460

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 33
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 304 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 636 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 11 282 1 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 86 78 4 100 CLM
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 96 1227 4 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 91 2227 4 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92 49 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 58 514 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 57 514 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 6 581 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 375 5 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 0 86 1 88 EHR