Mr. Todd Karalius

Acute Care Cottage Hospital NPI1740646082

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

88.89 out of 100

Score Breakdown

Quality Category Score 90.60
PI Category Score 88

 

IA Category Score 20
Cost Category Score 0
Total Patients: 0
Source of Scores: group

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_BMH_4 Depression screening
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_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_007_overall Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 70 20 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 23 111 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 53 485 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 74 113 4 93 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 16 111 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 70 111 3 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 20 623 1 98 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 53 98 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92 1818 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93 541 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 56 401 3 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84 541 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 8 236 3 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 71 302 EHR
MIPS_EC_309_overall Cervical Cancer Screening 31 113 2 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 53 236 3 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 45 255 3 88 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 41 795 3 64 EHR
PI_EC_EP_1 e-Prescribing 98 3349 4 100 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 74 651 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis