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 - Legal Name |
Participant in
|
|
Associated Clinicians of Longview (DCOL) |
N |
|
Brookridge Internal Medicine Associates, P.A. |
N |
|
Collom & Carney Clinic |
N |
|
Darren Arnecke |
N |
|
Dr Bart Pruitt PLLC |
N |
|
East Texas Clinic Association |
N |
|
Family Medical Associates, PA |
N |
|
Marshall Family Practice Associates Pllc |
N |
|
Oge Family Medical Clinic, PLLC |
N |
|
Paul Meriwether |
N |
|
Phynet Inc. |
N |
|
Sreemannaryana Jampana |
N |
|
Troyce Williams |
N |
|
Vahid Bagherian |
N |
|
Whelchel Primary Care Medicine, P.A. |
N |
|
Member |
Voting Power Expressed as a percentage |
Membership Type |
Participant Legal Business Name DBA (if Applicable) |
||
|
Last Name |
First Name |
Title/Position |
|||
|
Bunch |
Darrell |
Officer |
25% |
Participant |
PhyNet Inc |
|
Ford |
John |
Chairman |
23% |
Stakeholder |
N/A |
|
Sawyer |
James |
Officer |
25% |
Participant |
Associated Clinicians of East Texas |
|
DeWare |
Jesse |
Officer |
2% |
Beneficiary |
N/A |
|
Vozza |
Brenda |
Officer |
25% |
Participant |
Brookridge Internal Medicine Assoc. P.A. |
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 |
91.00 |
80.60 |
|
ACO-2 |
CAHPS: How Well Your Providers Communicate |
94.64 |
93.13 |
|
ACO-3 |
CAHPS: Patients’ Rating of Provider |
92.15 |
92.31 |
|
ACO-4 |
CAHPS: Access to Specialists |
83.00 |
83.32 |
|
ACO-5 |
CAHPS: Health Promotion and Education |
53.30 |
62.30 |
|
ACO-6 |
CAHPS: Shared Decision Making |
61.18 |
75.85 |
|
ACO-7 |
CAHPS: Health Status/Functional Status |
71.21 |
73.05 |
|
ACO-34 |
CAHPS: Stewardship of Patient Resources |
31.97 |
25.68 |
|
ACO-8 |
Risk Standardized, All Condition Readmission |
16.04 |
15.01 |
|
ACO-35 |
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) |
19.88 |
18.46 |
|
ACO-37 |
All-Cause Unplanned Admissions for Patients with Heart Failure |
74.16 |
79.16 |
|
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
59.00 |
61.74 |
|
ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) |
2.27 |
1.93 |
|
ACO-11 |
Use of Certified EHR Technology |
96.73 |
98.48 |
|
ACO-12 |
Medication Reconciliation |
93.83 |
75.32 |
|
ACO-13 |
Falls: Screening for Future Fall Risk |
70.10 |
74.38 |
|
ACO-44 |
Imaging Studies for Low Back Pain |
65.00 |
67.32 |
|
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
63.03 |
72.52 |
|
ACO-15 |
Pneumonia Vaccination Status for Older Adults |
63.12 |
72.92 |
|
ACO-16 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up |
65.55 |
70.69 |
|
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
70.59 |
90.48 |
|
ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
44.33 |
61.98 |
|
ACO-19 |
Colorectal Cancer Screening |
54.33 |
64.58 |
|
ACO-20 |
Breast Cancer Screening |
60.00 |
70.05 |
|
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
72.69 |
79.89 |
|
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
13.65 |
16.74 |
|
ACO-41 |
Diabetes: Eye Exam |
28.67 |
50.37 |
|
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
61.36 |
71.47 |
|
ACO-30 |
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic |
87.70 |
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.