Dr. Thomas Heigle

Womans Hospital NPI1174573711

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.07 out of 100

Score Breakdown

Quality Category Score 81.52
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 159
Source of Scores: group, 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_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_012_overall Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 82 28 3 100 EHR
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 61 31 3 100 EHR
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 93 55 4 100 REG
MIPS_EC_117_overall Diabetes: Eye Exam 96 56 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92 509 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 199 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 199 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 29 216 2 100 EHR
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_EP_1 e-Prescribing 97 2111 4 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 2289 5 100 REG
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis