Tony Makhlouf

Simi Valley Hospital & Health Care Services NPI1992932214

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

69.41 out of 100

Score Breakdown

Quality Category Score 63.26
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 61
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
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_EPA_2 Use of telehealth services that expand practice access
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 67 199 3 100 CLM
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 100 459 5 100 CLM
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 28 5 100 CLM
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 99 430 4 100 CLM
PI_EC_EP_1 e-Prescribing 97 1338 4 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 85 78 4 100 ATT
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 815 5 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis