William Peter Abide JR. Investigator

Cardiovascular Disease Christus Santa Rosa Hospital-San Marcos NPI1932307261

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.93 out of 100

Score Breakdown

Quality Category Score 0
PI Category Score 91

 

IA Category Score 40
Cost Category Score 0
Total Patients: 145
Source of Scores: individual

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_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
PI_EC_HIE_4 Support Electronic Referral Loops By Receiving and Reconciling Health Information 3 989 1 100 ATT
PI_EC_EP_1 e-Prescribing 99 1496 4 100 ATT
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 100 976 5 100 ATT
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4 Public Health Registry Reporting