Thomas G. Hirose

Blood Banking & Transfusion Medicine Good Samaritan Hospital NPI1114960861

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

94.19 out of 100

Score Breakdown

Quality Category Score 85.99
PI Category Score 100

 

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

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_2 Anticoagulant Management Improvements
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 85 356 4 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 329 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 3572 5 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 329 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 222 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 17 123 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 1 3572 1 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 94 222 4 100 EHR
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
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_LVPP_1 e-Prescribing Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 274 5 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis