Prime Care Managers
ACO Public Reporting

PRIME CARE MANAGERS / ACO ID: A3280 

 
  Primary Contact Information

Primary Contact Name

John D. Ford

Contact Phone Number

903-247-0484

Contact Email Address

This email address is being protected from spambots. You need JavaScript enabled to view it.

  Organizational Information

ACO Participants

Participant in Joint Venture

Assoc. Clinics of East Texas (dba DCOL)

N

PhyNet Inc.

N

Marshall Family Practice Assoc.

N

Brookwood Internal Medicine Assoc. PA

N

Darren Arnecke, MD

N

Sreeman Jampana, MD

N

East Texas Clinic Assoc.

N

Charles Bart Pruitt, DO

N

Whelchel Primary Care Medicine

N

Family Medical Assoc. PA

N

Oge Family Medical Clinic, PLLC

N

Paul O. Meriwether, MD

N

Vahid Bagherian

N

Troyce F. Williams, MD

N

 ACO Governing Body

Member

Voting Power  Expressed as a percentage

Membership Type

Participant Legal Business Name  DBA (if Applicable)

Last Name

First Name

Title/Position

Bunch

Darrell

Med. Director

25%

Participant

PhyNet Inc

Ford

John

Chairman

23%

Stakeholder

PhyNet Inc

Mauldin

James

Officer

2%

Beneficiary

 

Arnecke

Darren

Officer

25%

Participant

Darren Arnecke, MD

  Key ACO Clinical & Administrative Leadership

John Ford

ACO Executive

Darrell Bunch

Medical Director

Joan Gale

Compliance Officer

Dan Duffee

Quality Assurance/Improvement Officer   

 Shared Savings & Losses

Amount of Shared Savings/Losses

•   First Agreement Period

                °   Performance Year 2017, $0

Shared Savings Distribution

•   First Agreement Period

°   Performance Year 2017

   •  Proportion invested in infrastructure: N/A

   •  Proportion invested in redesigned care processes/resources: N/A

   •  Proportion of distribution to ACO participants: N/A

  2017 Quality Performance Results

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

84.17

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

95.09

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

93.18

92.31

ACO-4

CAHPS: Access to Specialists

88.89

83.32

ACO-5

CAHPS: Health Promotion and Education

59.18

62.30

ACO-6

CAHPS: Shared Decision Making

75.46

75.85

ACO-7

CAHPS: Health Status/Functional Status

69.35

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

31.18

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.54

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

20.41

18.46

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

80.77

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

65.88

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

2.08

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

84.11

75.32

ACO-13

Falls: Screening for Future Fall Risk

73.18

74.38

ACO-44

Imaging Studies for Low Back Pain

86.11

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

59.93

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

53.46

72.92

ACO-16

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

70.96

70.69

ACO-17

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

73.63

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

43.77

61.98

ACO-19

Colorectal Cancer Screening

42.28

64.58

ACO-20

Breast Cancer Screening

51.84

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

65.49

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

9.69

16.74

ACO-41

Diabetes: Eye Exam

37.60

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

65.41

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

64.31

86.86


Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

•   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

Note: In the Quality Performance Results file(s) above, search for “Prime Care Managers, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A35853 in the public use files on data.cms.gov   

  Payment Rule Waivers 

•   No, our ACO does not use the SNF 3-Day Rule Waiver.