Accepts Medicare (pay less out of pocket)
Specialty
General Surgery
Gender
M
Medical School
Rush Medical College Of Rush University
Graduation Year
1974
Offers Telehealth Services
Yes
Accepts Medicare Assignment
Yes
Procedure Category
Hernia repair – groin (open)
Count
1-10
Percentile
Procedure Category
Mastectomy
Count
13
Percentile
60
Procedure Category
Coronary artery bypass graft (CABG)
Count
1-10
Percentile
MIPS Measure
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
Attestation
Yes
MIPS Measure
Engagement of New Medicaid Patients and Follow-up
Attestation
Yes
MIPS Measure
Use of tools to assist patient self-management
Attestation
Yes
MIPS Measure
Drug Cost Transparency
Attestation
Yes
MIPS Measure
Promote Use of Patient-Reported Outcome Tools
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
Engage Patients and Families to Guide Improvement in the System of Care
Attestation
Yes
MIPS Measure
Improved Practices that Disseminate Appropriate Self-Management Materials
Attestation
Yes
MIPS Measure
Integration of patient coaching practices between visits
Attestation
Yes
MIPS Measure
Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
Attestation
Yes
MIPS Measure
Improved Practices that Engage Patients Pre-Visit
Attestation
Yes
MIPS Measure
Use of certified EHR to capture patient reported outcomes
Attestation
Yes
MIPS Measure
Financial Navigation Program
Attestation
Yes
MIPS Measure
Provide Education Opportunities for New Clinicians
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
Participation in a QCDR, that promotes use of patient engagement tools.
Attestation
Yes
MIPS Measure
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
Attestation
Yes
MIPS Measure
Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive.
Attestation
Yes
MIPS Measure
Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities
Attestation
Yes
MIPS Measure
Tobacco use
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
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
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
Practice Improvements for Bilateral Exchange of Patient Information
Attestation
Yes
MIPS Measure
Implementation of improvements that contribute to more timely communication of test results
Attestation
Yes
MIPS Measure
Implementation of practices/processes for developing regular individual care plans
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
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
Implementation of documentation improvements for practice/process improvements
Attestation
Yes
MIPS Measure
Collection and use of patient experience and satisfaction data on access
Attestation
Yes
MIPS Measure
Use of telehealth services that expand practice access
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
Breast Cancer Screening
Attestation
No
MIPS Measure
Colorectal Cancer Screening
Attestation
No
MIPS Measure
Diabetes: Medical Attention for Nephropathy
Attestation
No
MIPS Measure
Diabetes: Eye Exam
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
Controlling High Blood Pressure
Attestation
No
MIPS Measure
Use of High-Risk Medications in Older Adults
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
Falls: Screening for Future Fall Risk
Attestation
No
MIPS Measure
Closing the Referral Loop: Receipt of Specialist Report
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
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
Immunization Registry 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
Practice State: CA
Line Service Count: 12
Beneficiary Count: 11