Henry Reinhart

Specialty

General Surgery

Gender

M

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2011

Offers Telehealth Services

No

Accepts Medicare Assignment

Yes

Facility Type

Hospital

Facility

Facility Type

Group

Group Name

Member Count

91

Accepts Medicare Assignment

Y

Procedure Category

Hernia repair – groin (open)

Count

1-10

Percentile

Procedure Category

Hernia repair (minimally invasive)

Count

1-10

Percentile

MIPS Measure

Improved Practices that Engage Patients Pre-Visit

Attestation

Yes

MIPS Measure

Provide Education Opportunities for New Clinicians

Attestation

Yes

MIPS Measure

Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.

Attestation

Yes

MIPS Measure

Engagement of patients through implementation of improvements in patient portal

Attestation

Yes

MIPS Measure

Tobacco use

Attestation

Yes

MIPS Measure

Depression screening

Attestation

Yes

MIPS Measure

Practice Improvements for Bilateral Exchange of Patient Information

Attestation

Yes

MIPS Measure

Implementation of documentation improvements for practice/process improvements

Attestation

Yes

MIPS Measure

Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record

Attestation

Yes

MIPS Measure

Regular Review Practices in Place on Targeted Patient Population Needs

Attestation

Yes

MIPS Measure

Implementation of medication management practice improvements

Attestation

Yes

MIPS Measure

Use of QCDR for feedback reports that incorporate population health

Attestation

Yes

MIPS Measure

Use of decision support and standardized treatment protocols

Attestation

Yes

MIPS Measure

Participation in CAHPS or other supplemental questionnaire

Attestation

Yes

MIPS Measure

Implementation of formal quality improvement methods, practice changes, or other practice improvement processes

Attestation

Yes

MIPS Measure

Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes

Attestation

Yes

MIPS Measure

Implementation of fall screening and assessment programs

Attestation

Yes

MIPS Measure

Participation in MOC Part IV

Attestation

Yes

MIPS Measure

Completion of an Accredited Safety or Quality Improvement Program

Attestation

Yes

MIPS Measure

Use of QCDR data for ongoing practice assessment and improvements

Attestation

Yes

MIPS Measure

Use of Patient Safety Tools

Attestation

Yes

MIPS Measure

Advance Care Plan

Attestation

No

MIPS Measure

Preventive Care and Screening: Influenza Immunization

Attestation

No

MIPS Measure

Breast Cancer Screening

Attestation

No

MIPS Measure

Colorectal Cancer Screening

Attestation

No

MIPS Measure

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Attestation

No

MIPS Measure

Documentation of Current Medications in the Medical Record

Attestation

No

MIPS Measure

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Attestation

No

MIPS Measure

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Attestation

No

MIPS Measure

Cervical Cancer Screening

Attestation

No

MIPS Measure

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

Attestation

No

MIPS Measure

Closing the Referral Loop: Receipt of Specialist Report

Attestation

No

MIPS Measure

Perioperative Temperature Management

Attestation

No

MIPS Measure

Health Information Exchange(HIE) Bi-Directional Exchange

Attestation

Yes

MIPS Measure

e-Prescribing Exclusion

Attestation

Yes

MIPS Measure

ONC-ACB Surveillance Attestation

Attestation

Yes

MIPS Measure

ONC Direct Review Attestation

Attestation

Yes

MIPS Measure

Provide Patients Electronic Access to Their Health Information

Attestation

No

MIPS Measure

Public Health Registry Reporting

Attestation

Yes

MIPS Measure

Clinical Data Registry Reporting

Attestation

Yes

MIPS Measure

Security Risk Analysis

Attestation

Yes

MIPS Measure

Obstructive Sleep Apnea: Patient Education

Attestation

No