Dr. Todd Russell Gleaves

Oklahoma Heart Hospital South, Llc NPI1114066677

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

96.82 out of 100

Score Breakdown

Quality Category Score 90.76
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 46
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
IA_EC_PSPA_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
IA_EC_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements
MIPS_EC_430_overall Prevention of Post-Operative Nausea and Vomiting (PONV) Combination Therapy 100 289 REG
MIPS_EC_424_overall Perioperative Temperature Management 99 368 REG
QCDR_EC_AQI62_overall Obstructive Sleep Apnea: Patient Education 99 549 QCDR