Zak H Weis

NPI1811903446

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

50.48 out of 100

Score Breakdown

Quality Category Score 44.29
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 210
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
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 13 40 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 48 91 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 55 31 3 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 93 40 4 100 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 33 40 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 16 216 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 30 112 2 98 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 24 80 2 96 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 49 110 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 46 110 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 6 32 4 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 60 65 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 32 1 100 EHR
MIPS_EC_309_overall Cervical Cancer Screening 50 42 3 98 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 25 133 2 64 EHR
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_LVPP_1 e-Prescribing Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 95 126 4 99 EHR
PI_EC_PHCDRR_4 Public Health Registry Reporting