Dolores Y Delgado

Specialty

Internal Medicine

Gender

F

Medical School

Other

Graduation Year

1986

Offers Telehealth Services

No

Accepts Medicare Assignment

Yes

Facility Type

Group

Group Name

Member Count

2

Accepts Medicare Assignment

Y

MIPS Measure

Promote Use of Patient-Reported Outcome Tools

Attestation

Yes

MIPS Measure

Drug Cost Transparency

Attestation

Yes

MIPS Measure

Use of tools to assist patient self-management

Attestation

Yes

MIPS Measure

Provide peer-led support for self-management.

Attestation

Yes

MIPS Measure

Use group visits for common chronic conditions (e.g., diabetes).

Attestation

Yes

MIPS Measure

Implementation of condition-specific chronic disease self-management support programs

Attestation

Yes

MIPS Measure

Use evidence-based decision aids to support shared decision-making.

Attestation

Yes

MIPS Measure

Engagement with QIN-QIO to implement self-management training programs

Attestation

Yes

MIPS Measure

Comprehensive Eye Exams

Attestation

Yes

MIPS Measure

Improved Practices that Disseminate Appropriate Self-Management Materials

Attestation

Yes

MIPS Measure

Improved Practices that Engage Patients Pre-Visit

Attestation

Yes

MIPS Measure

Engage Patients and Families to Guide Improvement in the System of Care

Attestation

Yes

MIPS Measure

Engagement of New Medicaid Patients and Follow-up

Attestation

Yes

MIPS Measure

Provide Education Opportunities for New Clinicians

Attestation

Yes

MIPS Measure

Engagement of Patients, Family, and Caregivers in Developing a Plan of Care

Attestation

Yes

MIPS Measure

Use of certified EHR to capture patient reported outcomes

Attestation

Yes

MIPS Measure

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

Attestation

Yes

MIPS Measure

Integration of patient coaching practices between visits

Attestation

Yes

MIPS Measure

Financial Navigation Program

Attestation

Yes

MIPS Measure

Evidenced-based techniques to promote self-management into usual care

Attestation

Yes

MIPS Measure

Engagement of patients through implementation of improvements in patient portal

Attestation

Yes

MIPS Measure

Completion of Collaborative Care Management Training Program

Attestation

Yes

MIPS Measure

Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities

Attestation

Yes

MIPS Measure

Participation in a QCDR, that promotes use of patient engagement tools.

Attestation

Yes

MIPS Measure

Diabetes screening

Attestation

Yes

MIPS Measure

Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive.

Attestation

Yes

MIPS Measure

Tobacco use

Attestation

Yes

MIPS Measure

Depression screening

Attestation

Yes

MIPS Measure

Care transition standard operational improvements

Attestation

Yes

MIPS Measure

Care coordination agreements that promote improvements in patient tracking across settings

Attestation

Yes

MIPS Measure

MDD prevention and treatment interventions

Attestation

Yes

MIPS Measure

Implementation of co-location PCP and MH services

Attestation

Yes

MIPS Measure

Implementation of Integrated Patient Centered Behavioral Health Model

Attestation

Yes

MIPS Measure

Electronic Health Record Enhancements for BH data capture

Attestation

Yes

MIPS Measure

Unhealthy Alcohol Use for Patients with Co-occurring Conditions of Mental Health and Substance Abuse and Ambulatory Care Patients

Attestation

Yes

MIPS Measure

Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop

Attestation

Yes

MIPS Measure

Care transition documentation practice improvements

Attestation

Yes

MIPS Measure

Practice Improvements that Engage Community Resources to Support Patient Health Goals

Attestation

Yes

MIPS Measure

PSH Care Coordination

Attestation

Yes

MIPS Measure

Primary Care Physician and Behavioral Health Bilateral Electronic Exchange of Information for Shared Patients

Attestation

Yes

MIPS Measure

Regular training in care coordination

Attestation

Yes

MIPS Measure

Patient Navigator Program

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

Relationship-Centered Communication

Attestation

Yes

MIPS Measure

Implementation of improvements that contribute to more timely communication of test results

Attestation

Yes

MIPS Measure

Tracking of clinicians relationship to and responsibility for a patient by reporting MACRA patient relationship codes.

Attestation

Yes

MIPS Measure

Implementation of documentation improvements for practice/process improvements

Attestation

Yes

MIPS Measure

Implementation of practices/processes for developing regular individual care plans

Attestation

Yes

MIPS Measure

Use of telehealth services that expand practice access

Attestation

Yes

MIPS Measure

Collection and use of patient experience and satisfaction data on access

Attestation

Yes

MIPS Measure

Chronic Care and Preventative Care Management for Empaneled Patients

Attestation

Yes

MIPS Measure

Additional improvements in access as a result of QIN/QIO TA

Attestation

Yes

MIPS Measure

Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/)

Attestation

Yes

MIPS Measure

Participation on Disaster Medical Assistance Team, registered for 6 months.

Attestation

Yes

MIPS Measure

Participation in a 60-day or greater effort to support domestic or international humanitarian needs.

Attestation

Yes

MIPS Measure

COVID-19 Clinical Data Reporting with or without Clinical Trial

Attestation

Yes

MIPS Measure

Implementation of episodic care management practice improvements

Attestation

Yes

MIPS Measure

Electronic submission of Patient Centered Medical Home accreditation

Attestation

Yes

MIPS Measure

Glycemic Screening Services

Attestation

Yes

MIPS Measure

Anticoagulant Management Improvements

Attestation

Yes

MIPS Measure

Glycemic Referring Services

Attestation

Yes

MIPS Measure

Advance Care Planning

Attestation

Yes

MIPS Measure

Glycemic management services

Attestation

Yes

MIPS Measure

Engagement of community for health status improvement

Attestation

Yes

MIPS Measure

Participation in private payer CPIA

Attestation

Yes

MIPS Measure

Participation in Joint Commission Evaluation Initiative

Attestation

Yes

MIPS Measure

Participation in an AHRQ-listed patient safety organization.

Attestation

Yes

MIPS Measure

Participation in CAHPS or other supplemental questionnaire

Attestation

Yes

MIPS Measure

Implementation of analytic capabilities to manage total cost of care for practice population

Attestation

Yes

MIPS Measure

Measurement and Improvement at the Practice and Panel Level

Attestation

Yes

MIPS Measure

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

Attestation

Yes

MIPS Measure

Participation in MOC Part IV

Attestation

Yes

MIPS Measure

Implementation of fall screening and assessment programs

Attestation

Yes

MIPS Measure

Completion of an Accredited Safety or Quality Improvement Program

Attestation

Yes

MIPS Measure

Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS or Other Similar Activity

Attestation

Yes

MIPS Measure

Patient Medication Risk Education

Attestation

Yes

MIPS Measure

Use of CDC Guideline for Clinical Decision Support to Prescribe Opioids for Chronic Pain via Clinical Decision Support

Attestation

Yes

MIPS Measure

Administration of the AHRQ Survey of Patient Safety Culture

Attestation

Yes

MIPS Measure

Consultation of the Prescription Drug Monitoring Program

Attestation

Yes

MIPS Measure

CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain

Attestation

Yes

MIPS Measure

Use of QCDR data for ongoing practice assessment and improvements

Attestation

Yes

MIPS Measure

Cost Display for Laboratory and Radiographic Orders

Attestation

Yes

MIPS Measure

Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event

Attestation

Yes

MIPS Measure

Invasive Procedure or Surgery Anticoagulation Medication Management

Attestation

Yes

MIPS Measure

Use of Patient Safety Tools

Attestation

Yes

MIPS Measure

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Attestation

No

MIPS Measure

Preventive Care and Screening: Influenza Immunization

Attestation

No

MIPS Measure

Pneumococcal Vaccination Status for Older Adults

Attestation

No

MIPS Measure

Breast Cancer Screening

Attestation

No

MIPS Measure

Colorectal Cancer Screening

Attestation

No

MIPS Measure

Diabetes: Eye Exam

Attestation

No

MIPS Measure

Diabetes: Medical Attention for Nephropathy

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: Screening for Depression and Follow-Up Plan

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

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

Attestation

No

MIPS Measure

Controlling High Blood Pressure

Attestation

No

MIPS Measure

Use of High-Risk Medications in Older Adults

Attestation

No

MIPS Measure

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

Attestation

No

MIPS Measure

Falls: Screening for Future Fall Risk

Attestation

No

MIPS Measure

Closing the Referral Loop: Receipt of Specialist Report

Attestation

No

MIPS Measure

e-Prescribing

Attestation

No

MIPS Measure

Query of the Prescription Drug Monitoring Program (PDMP)

Attestation

Yes

MIPS Measure

Health Information Exchange(HIE) Bi-Directional Exchange

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

Immunization Registry Reporting

Attestation

Yes

MIPS Measure

Syndromic Surveillance Reporting

Attestation

Yes

MIPS Measure

Electronic Case Reporting

Attestation

Yes

MIPS Measure

Public Health Registry Reporting

Attestation

Yes

MIPS Measure

Clinical Data Registry Reporting

Attestation

Yes

MIPS Measure

Security Risk Analysis

Attestation

Yes