CA MSSP Community Health Center

Gavin White

ACO Primary Contact

Location

Aledade Accountable Care 45, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814

ACO Participants	ACO Participant in Joint Venture
ALTURA CENTERS FOR HEALTH	N
CAMARENA HEALTH	N
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC	N
COMMUNITY MEDICAL CENTERS INC	N
FAMILY HEALTHCARE NETWORK	N
HILL COUNTRY COMMUNITY CLINIC	N
MOUNTAIN VALLEYS HEALTH CENTERS	N
OPEN DOOR COMMUNITY HEALTH CENTERS	N
SHASTA COMMUNITY HEALTH CENTER	N

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage)	Membership Type	Practice Legal Business Name
RON	CASTLE	Board Member	8.333	ACO Participant Representative	Community Health Centers Of The Central Coast Inc
SILVIA	DIEGO	Board Member/ACO Medical Director	8.333	Other	NA
SUSAN	FOSTER	Board Member	8.333	ACO Participant Representative	Hill Country Community Clinic
SHANNON	GERIG	Board Member	8.333	ACO Participant Representative	Mountain Valleys Health Centers
GARY	MORRELL	Board Member	8.333	ACO Participant Representative	Family Healthcare Network
CHRISTINE	NOGUERA	Board Member	8.333	ACO Participant Representative	Community Medical Centers Inc
PAULO	SOARES	Board Member	8.333	ACO Participant Representative	Camarena Health
ROGER	SPEED	Board Member/Medicare Beneficiary Representative	8.333	Medicare Beneficiary Representative	N/A
TORY	STARR	Board Member	8.333	ACO Participant Representative	Open Door Community Health Centers
BRANDON	THORNOCK	Board Member	8.333	ACO Participant Representative	Shasta Community Health Center
DAWN	WELLS	Board Member/Compliance Committee Lead	8.333	ACO Participant Representative	Altura Centers For Health
GAVIN	WHITE	Board Member/Chair	8.333	Other	Aledade

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

ACO Executive: Gavin White
Medical Director: Silvia Diego
Compliance Officer: Amy Youtz
Quality Assurance/Improvement Officer: Emily Maxson

Committee Name	Committee Leader Name and Position
Compliance Committee	Dawn Wells / Compliance Committee Leader

Networks of individual practices of ACO professionals

Second Agreement Period

Performance Year 2022, $4,722,295.59

First Agreement Period

Performance Year 2021, $0
Performance Year 2020, $744,784
Performance Year 2019, $0

Second Agreement Period

Performance Year 2022
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care process/resources: 30%
- Proportion of distribution to ACO participants: 60%

First Agreement Period

Performance Year 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care process/resources: 30%
- Proportion of distribution to ACO participants: 60%
Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care process/resources: 30%
- Proportion of distribution to ACO participants: 60%

2022 Quality Performance Results

Measure #	Measure Name	Collection Type	Rate	ACO Mean
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	CMS Web Interface	16.94	10.71
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	90.99	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	78.6	76.16
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	74.69	87.83
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	71.38	77.34
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	64	79.27
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	60.13	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	66.77	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	94.23	86.37
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	36.84	16.03
Quality ID# 321	CAHPS for MIPS [3]	CMS Web Interface	N/A	N/A
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	CMS Web Interface	---	---
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	CMS Web Interface	---	---
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS	81.66	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS	90.18	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS	88.55	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS	73.58	77
CAHPS-5	Health Promotion and Education	CAHPS for MIPS	55.31	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS	45.26	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS	62.58	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS	76.72	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS	89.61	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS	23.61	25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Fraud and Abuse Waivers

ACO Pre-Participation Waiver:: N/A

ACO Participation Waiver: N/A