Walter Francis D'costa

Radiology Sutter Santa Rosa Regional Hospital NPI1548336605

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.93 out of 100

Score Breakdown

Quality Category Score 81.27
PI Category Score 100

 

IA Category Score 0
Cost Category Score 0
Total Patients: 97
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 58 239 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 23 805 2 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 15 239 1 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 36 328 2 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 29 631 2 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 38 5700 1 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 77 239 3 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 6 913 1 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78 856 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 30 74 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 66 305 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 72 856 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 26 3429 2 64 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 0 24 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 8 24 EHR
MIPS_EC_309_overall Cervical Cancer Screening 15 252 1 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 4 599 4 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 11 599 1 100 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 88 24 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 91 835 2 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 0 29 1 88 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 98 1188 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_1 Immunization Registry Reporting