ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 8
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1 ACO ame and Location Essential Care Partners, LLC 5900 Southwest Parkway Building 3 Austin, Texas ACO Primary Contact Primary Contact ame Jeff Spight Primary Contact Phone umber Primary Contact Address Jeffery.Spight@UniversalAmerican.com Organizational Information ACO s: ACO Participants Amistad Center Incorporated Central Texas Centers Centers Of South Central Texas Inc Community Action Corporation Of South Texas Vida Y Salud-Health Systems, Inc. uestra Clinica Del Valle Inc El Centro Del Barrio Inc Fort Bend Family Health Center, Inc. United Medical Centers Brownsville Clinic Corporation Development, Inc Su Clinica Familiar Service Agency, Inc Cross Timbers Health Clinics, Inc orth Central Texas Care Center Inc Frontera Healthcare etwork Gulf Coast Health Center Inc ACO Participant in Joint Venture (Enter Y or ) Page 1 of 8
2 ACO governing body: Last ame First ame Title/Position Camacho. JD José Magno Davin 's Power ship Type 6.66% Other /A 6.66% Other /A ACO Participant TI Legal Business ame/dba, if Applicable Carter, MPA- HCA Michelle Peron, MD Ronald Kleibrink Cam Marin, MD Elena Duran Humberto Mayela Castañon Service Agency, Inc. Service Agency, Inc. Frontera Healthcare etwork Su Clinica Familiar United Medical Centers Development, Inc Ramirez- Torres Lucy uestra Clinica del Valle, Inc. Fournier, DC,MPH Jaeson Hill, MPA Sherry Thigpen, MD Marsha Gomez, PhD Ernesto Central Texas Centers (CommUnityCare) Cross Timbers Health Clinics, Inc. (AccelHealth) Gulf Coast Health Center, Inc El Centro del Barrio (CentroMed) Page 2 of 8
3 Patterson, CPA, CGMA, FACMPE, MHA Allen Moran Silvia 6.66% Medicare Beneficiary Representative Suchyta, JD Janice Ex Officio 0% ACO Waller Kenneth Ex Officio 0% ACO De La Paz Rafael Ex Officio 0% ACO Tellez ora Ex Officio 0% ACO Garcia Javier Ex Officio 0% ACO orth Central Texas Care Center, Inc Brownsville Center Fort Bend Family Health Center, Inc. (AccessHealth) Amistad Community Health Center Centers of South Central Texas Vida y Salud Health Systems, Inc. Community Action Corporation of South Texas Key ACO clinical and administrative leadership: Jeffery Spight ACO Executive Ronald Peron Medical Director Michael Yount Compliance Officer Davin Magno Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee ame Committee Leader ame and Position Quality Improvement & Care Coordination Ronald Peron, MD, Chair Operations Oversight, Compliance & Ethics Davin Magno Types of ACO s, or combinations of s, that formed the ACO: Federally Qualified Health Center (FQHC) Page 3 of 8
4 Shared Savings and Losses Amount of Shared Savings/Losses Second Agreement Period o Performance Year 2016, $0 First Agreement Period o Performance Year 2015, $0 o Performance Year 2014, $1,528,623 o Performance Year 2013, $0 Shared Savings Distribution Second Agreement Period o Performance Year 2016 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO s: /A First Agreement Period o Performance Year 2015 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO s: /A o Performance Year 2014 Proportion invested in infrastructure: 0% Proportion invested in redesigned care processes/resources:100% Proportion of distribution to ACO s: 0% o Performance Year 2013 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO s: /A Page 4 of 8
5 Quality Performance Results 2016 Quality Performance Results: ACO# Measure ame Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information CAHPS: How Well Your Providers Communicate CAHPS: Patients' Rating of Provider CAHPS: Access to Specialists CAHPS: Health Promotion and Education CAHPS: Shared Decision Making CAHPS: Health Status/Functional Status CAHPS: Stewardship of Patient Resources Risk-Standardized, All Condition Readmission Skilled ursing Facility 30-Day All-Cause Readmission Measure (SFRM) All-Cause Unplanned Admissions for Patients with Diabetes All-Cause Unplanned Admissions for Patients with Heart Failure All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) Percent of PCPs who Successfully Meet Meaningful Use Requirements Documentation of Current Medications in the Medical Record Falls: Screening for Future Fall Risk Preventive Care and Screening: Influenza Immunization Pneumonia Vaccination Status for Older Adults Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up Preventive Care and Screening: Tobacco Use: Screening and Cessation Page 5 of 8
6 17 Intervention 18 Preventive Care and Screening: Screening for Clinical Depression and Followup Plan Colorectal Cancer Screening Breast Cancer Screening Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Diabetes Mellitus: Hemoglobin A1c Poor Control Diabetes: Eye Exam Hypertension (HT): Controlling High Blood Pressure Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) Please note, the 40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. For 2016 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care- O/3jk5-q6dr/data For 2015 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8vaz7cu For 2014 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/uccehhpu For 2013 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care- O/yuq5-65xt ote: In the Quality Performance Results file(s) above, search for Essential Care Partners, LLC to view the quality performance results. This ACO can also be found by using the ACO ID A05247 in the public use files on data.cms.gov. Payment Rule Waivers o, our ACO does not use the SF 3-Day Rule Waiver. Page 6 of 8
7 ACO Documentation Parties Involved: Start Date: January 1, 2017 End Date: December 31, 2017 Essential Care Partners, LLC Collaborative Health Systems, LLC Description/Purpose of the Arrangement: To facilitate the capture of comprehensive and consistent data relating to the ACO CMS Quality Measures, CHS has developed, and the ACO has adopted, documentation methods (among other things, a Detailed Quality Measures Checklist and a Quality Measures Application (e.g., PatientLink 360 ) to meet the requirements of 2017 quality reporting via the Centers for Medicare & Medicaid Services ( CMS ) Group Practice Reporting Option ( GPRO ). Either the Detailed Quality Measures Checklist or data shall be inputted, uploaded, or otherwise processed via PatientLink 360 by the ACO Participant or provider/supplier during a beneficiary encounter or retrospectively by capturing ACO quality measures collected in a previous visit pertaining to the completion of a 2017 Quality Measure. The Detailed Quality Measures Checklist and PatientLink360 detail the documentation requirements necessary to meet the standards established by CMS for the preventive care services included in the quality measurements for the ACO. Recognizing the administrative burden of completing the Detailed Quality Measures Checklist, CHS, on behalf of the ACO, will pay the Participant as follows: - Fifty Dollars ($50.00) for each completed Quality Detailed Checklist entered directly into PatientLink 360 by the Participant. The payment will be an ACO expense as described in the agreement between the ACO and CHS. Items, Services and/or goods included: This administrative fee covers the cost of outreach, scheduling, logistics, and reporting to CHS. Financial/Economic Terms: (1) CHS, on behalf of the ACO, will pay the Participant Fifty Dollars ($50.00) per fully completed and accurate entry into PatientLink 360 per beneficiary per year. ACO Participants and providers/suppliers shall ensure all applicable sections are complete and accurate. The ACO will not pay for incomplete forms or entries. The ACO will not pay for QM data collected and/or forms that include data that does not meet the 2017 GPRO reporting period requirements. Data collected must reference a provider visit applicable to the 2017 GPRO reporting period requirements. Data collected must be entered directly into the PatientLink 360 within thirty days of service delivered to meet the measure data collection requirements and in all instances before December 31, ACO Participants shall have sixty days to submit entries to PatientLink 360 for all beneficiary visits rendered prior to PatientLink 360 reopening. The payment will be an ACO expense as described in the agreement between the ACO and CHS. Relation to Purposes of the Medicare Shared Savings Program This reimbursement will support the complete and accurate data collection of the quality measures. This data will be used to ascertain the health status of the individual, identify any gaps in care, needed clinical interventions, additional disease education, care plan development and Page 7 of 8
8 tracking, as well as, engage the beneficiary in the active participation of their care and identify opportunities for improved care coordination. With expanded and more specific data collection, care processes will be initiated earlier and more consistently. An increasingly robust quality measures collection process is in itself a redesigned care process that will improve the care of the individual, reduce costs and improve the health of the population the ACO serves. Authorization by Governing Body Method of Authorization (select one): Date: June 5, 2017 Unanimous Written Consent Governing Body Vote documented accordingly in the meeting minutes A1281_Required ACO Information for Public Reporting 11/17/2017 Page 8 of 8
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