ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name. Michael Paez Primary Contact Phone Number

Similar documents
ACO Name and Location. ACO Primary Contact. Brad Roberts. Organizational Information. Primary Contact Name. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information N N N N N N

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name. Adrienne Opalka

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number (406)

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information. Scott Berkowitz, MD, MBA

Paul P. Hinchey, President and CEO

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6. Jim Carlough. Primary Contact Name (775)

ACO Primary Contact. Organizational Information

Shared Savings Program ACO Public Reporting

ACO Name and Location. ACO Primary Contact. Organizational Information. Don Franke. Primary Contact Name. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Michele Muldoon. Organizational Information. Primary Contact Name

Shared Savings Program ACO Public Reporting Organizational Information and Performance Results

ACO Name and Location. Organizational Information. ACO Primary Contact

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name

Paul P. Hinchey, President and CEO

Shared Savings Program ACO Public Reporting Organizational Information and Performance Results

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name

The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

HEALTHCARE REFORM. September 2012

ACO Public Reporting

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years

Provider Perspective of Quality Measurement

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings

Clinical Integration Quality Measures

Consensus Core Set: ACO and PCMH / Primary Care Measures Version 1.0

2017 CMS Web Interface Reporting

2014 ACO GPRO Audit What this means for your practice. Sheree M. Arnold ACO Clinical Transformation Specialist

2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015

ACO Name and Location. ACO Primary Contact. Organizational Information

Improving Quality of Care for Medicare Patients: Accountable Care Organizations

MSSP Quality Measure Performance Improvement Comparison EOY 2016 Present Discrete Fields from EHR Medicare Population

Accountable Care Organizations (ACO)

Clinical Quality Measures

16 th Annual IHA Stakeholders Meeting Session 1A

RCCO Quality Indicators Crosswalk

Physician Organization of Michigan ACO. Presented by Jeni Hughes Oakland Southfield Physicians, PC

Performance Measurement

Mini Summit 4: Risk Adjustment: Adequate for Specialty Medications in Global Bundled Payment

Advances in Alignment, Measurement, and Performance MY 2017 Results Highlights

2018 MIPS Reporting Family Medicine

2016 Cross-Cutting Measure Set

2017 CMS Web Interface Reporting

Fifth Annual National ACO Summit

Measuring and Improving Quality in Accountable Care Organizations

Driving to Value: Transitioning from Fee for Service. Walter LeStrange

ACO Congress Conference Pre Session Clinical Performance Measurement

16 th Annual IHA Stakeholders Meeting Session 2C

Monthly Campaign Webinar. October 20, 2016

MSPPS Clinical Focus Areas

The Future of Cardiac Care: Managing Our Patients Together

Medicare ACO Proposed Rule: What Physicians Need to Know Member Webinar May 3, 2011

Comprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents

Value-Based Physician Compensation and Dashboards

PCMH 2018 Enrollment and Update August 25, 2017

Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program

PQRS in TRAKnet 2015 GUIDE TO SUBMIT TING AND REPORTING PQRS IN 2015 THROUGH TRAKNET

Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists

Meaningful Use Overview

Successes in Regional Collaboration to Achieve the Triple Aim Oregon. Pay for Performance Summit San Francisco March 24, 2014

Accountable Care Organization (ACO) 2014 Quality Performance Report

MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) QUALITY CATEGORY

Certified Health IT Transparency and Disclosure Information 2014 Edition

Meaningful Use & Million Hearts. Improving Cardiovascular Disease & Stroke Through Quality Measurements

Integration of Specialty Care into ACOs: Considering JMAP and Beyond

Validating and Reporting the 2017 ACO Clinical Measures (Version 1)

2014 Clinical Quality Measures: Changes for the Medicaid EHR Incentive Program. Tracy McDonald Medicaid EHR Incentive Program Coordinator

QUALITY RATING SYSTEM: BACKGROUND

MU - Selection & Configuration of Measures

MEASURE TYPE. Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence

th Street, NW Suite 1000 Washington, DC phone fax

Meaningful Use Simple Guide

Improving Women s Health Through the Prevention and Control of Chronic Disease

Accountable care organizations (ACOs) receive shared savings

Capital Health Plan CMS Star Ratings Strategies for Improvement

2016 PQRS Recommended Measures for: General/Family Practice

Quality Measures MIPS CV Specific

NH State Medicaid HIT Plan

Fall 2017 Provider Newsletter

Quality Payment Program: A Closer Look at the Proposed Rule for Year 3

Performance Measurement: HEDIS, STARS and More. Margaret E. O Kane NCQA President CAPG Educational Series October 27, 2016

RHCs in Accountable Care Organizations (ACOs)

Across The Chasm: The Transition From Volume To Value

Getting to Safe, Affordable, Effective, Patient-Centered Care: Good Data Are Only the Beginning

PCC EHR Meaningful Use Measures. Maria Horn July 18, :15 pm. Including CQM Reports

Transcription:

ACO ame and Location South Texas ACO Clinical Partners LLC Previous ames: /A 367 S. Gulph Road King of Prussia, PA 19406 ACO Primary Contact Primary Contact ame Michael Paez Primary Contact Phone umber 956-342-6015 Primary Contact Email Address Michael.Paez@uhsinc.com Organizational Information ACO participants: ACO Participants ACO Participant in Joint Venture (Enter Y or ) Adonis Zuniga-Goldwater MD Andrew Levine, MD South Laredo Family Clinic PA Blanco & Cantu Family Practice MD Carlos. Hornedo III D.O. Jose Roel Maldonado Jr MD PA Monte Cristo Family Clinic Juana Maria Espejo Md Pa Diego F Menchaca Md Pa Osama B. ahas M.D.P.A. Benjamin Fano MD PA Dr. Rafael J Deliz MD

Benjamin Bujanda MD. Family Medicine Associates PA Miguel Villarino MD PA orberto Alvarez, Jr.,M.D.,Pa Andres Garcia Zuniga, M.D.,PA Agustin B Mego Md Pa Luis Bay Winder Vasquez Specialty Physicians Garza Medical Associates Border Clinic PLLC Javier Murillo Clinica Sagrado Corazon Juana Espejo, MD Arturo Garza Gongora Milton Haber Diego Menchaca, MD Humberto Varela, MD Luis Benavides

Carlos Hornedo Jose Garcia Osama ahas Humberto unez, MD PA Laredo Premier Healthcare, PLLC Agustin Mego, MD Pablo Olmedo McAllen Hospitalist Group, PLLC Luis P. Bay, MD. PA Benjamin Bujanda MD Humberto Varela, MD Winder Vasquez Luis Benavides Milton Haber Arturo Garza Gongora Gomez-Vazquez Family Practice, Pa Eloy Zamarron, Jr MD, PA Heart Clinic, PLLC David H Cruz MD PA

Andrew Levine, MD Monzer H. Yazji M.D. & Associates Ruben D. Bocanegra MD ACO governing body: Member Last ame First ame Title/Position Member's Voting Power Expressed as a percentage or number Membership Type ACO Participant Legal Business ame/dba, if Applicable Benavides Luis Dr. Y Participant 471872685, Laredo Premier Healthcare Yazji Monzer Dr. Y Participant 752472510, Monzer H. Yazji, MD Associates Espejo Juana Dr. Y Participant 741992622, Benjamin Bujanda Bocanegra Ruben Dr. Y Participant 820581066, Ruben D. Bocanegra MD Garcia Jose Dr. Y Participant 461459569, Jose Garcia Carlson Gregory Dr. Y Participant 752617462, Sanders Robert Dr. Y Participant 752617462, Goodwin Chambers Shannon Dr. Y Participant 752617462, Jemmoua Kamal Mr. Y Management /A Borrego Fabian Mr. Y Management /A

Truly Ted Dr. Y Participant 752617462, Retz William Admiral Y Beneficiary /A Key ACO clinical and administrative leadership: Kamal Jemmoua ACO Executive Monzer Yazji Medical Director Gary Albers Compliance Officer Gregory Carlson Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee ame Committee Leader ame and Position Clinical/Quality Committee Dr. Gregory Carlson Finance/Performance Committee Dr. Monzer Yazji Types of ACO participants, or combinations of participants, that formed the ACO: Hospital employing ACO professionals etworks of individual practices of ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2017, $0 Shared Savings Distribution First Agreement Period o Performance Year 2017 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A

Quality Performance Results 2017 Quality Performance Results: ACO# Measure ame Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information 80.63 80.60 2 CAHPS: How Well Your Providers Communicate 94.17 93.13 3 CAHPS: Patients Rating of Provider 93.68 92.31 4 CAHPS: Access to Specialists 85.91 83.32 5 CAHPS: Health Promotion and Education 64.64 62.30 6 CAHPS: Shared Decision Making 77.59 75.85 7 CAHPS: Health Status/Functional Status 69.74 73.05 34 CAHPS: Stewardship of Patient Resources 26.74 25.68 8 Risk Standardized, All Condition Readmission 14.91 15.01 35 36 37 Skilled ursing Facility 30-day All-Cause Readmission measure (SFRM) 19.08 18.46 All-Cause Unplanned Admissions for Patients with Diabetes 55.99 53.95 All-Cause Unplanned Admissions for Patients with Heart Failure 81.77 79.16 38 43 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 61.79 61.74 2.35 1.93 11 12 13 44 14 15 Use of Certified EHR Technology 100.00 98.48 Medication Reconciliation 66.46 75.32 Falls: Screening for Future Fall Risk 81.67 74.38 Imaging Studies for Low Back Pain 62.20 67.32 Preventive Care and Screening: Influenza Immunization 73.33 72.52 Pneumonia Vaccination Status for Older Adults 59.31 72.92 16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 72.92 70.69

17 18 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 94.82 90.48 74.05 61.98 19 20 Colorectal Cancer Screening 63.60 64.58 Breast Cancer Screening 67.34 70.05 42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 68.14 79.89 27 41 28 30 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.67 16.74 Diabetes: Eye Exam 56.98 50.37 Hypertension (HT): Controlling High Blood Pressure 66.79 71.47 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 88.52 86.86 Please note, the 40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. For 2017 Quality Performance Results please visit: https://data.cms.gov/special-programs- Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care- O/gk7c-vejx/data ote: In the Quality Performance Results file(s) above, search for South Texas ACO Clinical Partners LLC to view the quality performance results. This ACO can also be found by using the ACO ID A93701 in the public use files on data.cms.gov. Payment Rule Waivers o, our ACO does not use the SF 3-Day Rule Waiver.