Pacific Northwest MSSP

Megan Bielemeir

ACO Primary Contact

Location

Aledade Accountable Care 99, LLC

4550 Montgomery Ave Ste 950N
Bethesda, MD 20814

ACO Participants	ACO Participant in Joint Venture
BROOKINGS HARBOR MEDICAL CENTER P C	N
CASCADE INTERNAL MEDICINE SPECIALISTS LLC	N
CASCADE PHYSICIANS PC	N
COUNTRY DOCTOR COMMUNITY CLINIC	N
DAVIES CLINIC PC	N
DESERT PEAKS HEALTH CARE, LLC	N
DR ANNA LLC	N
DR RUSSELL B HARRISON MD PC	N
FALL CREEK INTERNAL MEDICINE, LLP	N
GRANTS PASS CLINIC LLP	N
HUDSON'S BAY MEDICAL GROUP, INC., P.S	N
JAMISON FAMILY MEDICINE PLLC	N
JERROLD L SNOW LLC	N
LA PINE COMMUNITY HEALTH CENTER	N
MADRAS MEDICAL GROUP PC	N
MOSAIC MEDICAL	N
MOUNTAINVIEW FAMILY PRACTICE PC	N
NORTH BEND MEDICAL CENTER INC	N
NORTH OLYMPIC HEALTHCARE NETWORK	N
NORTHWEST PHYSICIANS MEDICAL GROUP, PLLC	N
NORTHWEST PRIMARY CARE GROUP PC	N
OAK STREET HEALTH CARE CENTER P C	N
ONE COMMUNITY HEALTH	N
PACIFIC FAMILY MEDICINE LLP	N
PHYSICIANS MEDICAL CENTER PC	N
PORTLAND CLINIC	N
QUALITY CARE MEDICAL CLINIC LLC	N
RIVER ROAD MEDICAL GROUP	N
ROGUE RIVER FAMILY PRACTICE CLINIC PC	N
SILVER CREEK FAMILY MEDICINE	N
SOUTH HILL FAMILY MEDICINE PC	N
SPRINGFIELD FAMILY PHYSICIANS LLP	N
STAYTON FAMILY PRACTICE INC	N
TERRY COPPERMAN MD PC	N
TIMOTHY J GRAY DO LLC	N
WESTHILLS HEALTHCARE CLINIC PC	N
WINDING WATERS MEDICAL CLINIC	N

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage)	Membership Type	Practice Legal Business Name
CAROLYN	ANDERSON	Board Member	2.703	ACO Participant Representative	Mountainview Family Practice PC
MARK	BACKUS	Board Member	2.703	ACO Participant Representative	Cascade Internal Medicine Specialists LLC
NATHAN	BAY	Board Member	2.703	ACO Participant Representative	Silver Creek Family Medicine
MEGAN	BIELEMEIER	Board Member/Chair	2.703	Other	Aledade
SPENCER	COUNTISS	Board Member	2.703	ACO Participant Representative	Grants Pass Clinic LLP
ALINA	DZYUBA	Board Member	2.703	ACO Participant Representative	Hudson's Bay Medical Group, Inc., P.S
MEGAN	FIELDS	Board Member	2.703	ACO Participant Representative	River Road Medical Group
ERIN	FITZPATRICK	Board Member	2.703	ACO Participant Representative	La Pine Community Health Center
CHARLOTTE	FLOOD	Board Member	2.703	ACO Participant Representative	Northwest Primary Care Group PC
PAIGE	FREDERICK	Board Member	2.703	ACO Participant Representative	Portland Clinic
CAROL	FREE	Board Member/Medicare Beneficiary Representative	2.703	Medicare Beneficiary Representative	N/A
DENNIS	GRAY	Board Member	2.703	ACO Participant Representative	Physicians Medical Center PC
KATIE	GREENE	Board Member	2.703	ACO Participant Representative	Jerrold L Snow LLC
APRIL	HANSEY	Board Member	2.703	ACO Participant Representative	Terry Copperman MD PC
RUSSELL	HARRISON	Board Member	2.703	ACO Participant Representative	Dr Russell B Harrison MD PC
LORRAINE	HOOVER	Board Member	2.703	ACO Participant Representative	Country Doctor Community Clinic
KEN	HOUSE	Board Member	2.703	ACO Participant Representative	Mosaic Medical
ASHLEY	HYDER	Board Member	2.703	ACO Participant Representative	Westhills Healthcare Clinic PC
TRACIE	JEFFERSON	Board Member	2.703	ACO Participant Representative	South Hill Family Medicine PC
BOB	JONES	Board Member	2.703	ACO Participant Representative	Madras Medical Group PC
KRIS	KEITH	Board Member	2.703	ACO Participant Representative	Oak Street Health Care Center PC
TAYLOR	KELLER	Board Member	2.703	ACO Participant Representative	Quality Care Medical Clinic LLC
ANNE	KILLINGBECK	Board Member	2.703	ACO Participant Representative	Desert Peaks Health Care, LLC
BRIAN	MATEJA	Board Member	2.703	ACO Participant Representative	Rogue River Family Practice Clinic PC
MICHAEL	MAXWELL	Board Member	2.703	ACO Participant Representative	North Olympic Healthcare Network
JANET	MOSSMAN	Board Member	2.703	ACO Participant Representative	Pacific Family Medicine LLP
ASHLEY	O'BRIAN	Board Member	2.703	ACO Participant Representative	Brookings Harbor Medical Center P C
NIC	POWERS	Board Member	2.703	ACO Participant Representative	Winding Waters Medical Clinic
ANAND	RAO	Board Member	2.703	ACO Participant Representative	Dr Anna LLC
IAN	SCHURR	Board Member	2.703	ACO Participant Representative	One Community Health
NATALIE	STONEHOCKER	Board Member	2.703	ACO Participant Representative	Jamison Family Medicine PLLC
ELIZABETH	STOVER	Board Member/ACO Medical Director/Compliance Committee Lead	2.703	ACO Participant Representative	Springfield Family Physicians LLP
KATIE	SUH	Board Member/ Vice Chair	2.703	Other	Aledade
LINDSEY	TYNER	Board Member	2.703	ACO Participant Representative	North Bend Medical Center Inc
KRISTI	VACCHER	Board Member	2.703	ACO Participant Representative	Mountainview Family Practice PC
KRISTIN	VANDOMELEN	Board Member	2.703	ACO Participant Representative	Fall Creek Internal Medicine, LLP
KENDRA	WILLIAMSON	Board Member	2.703	ACO Participant Representative	Northwest Physicians Medical Group, PLLC

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

ACO Executive: Megan Bielemeier
Medical Director: Elizabeth Stover
Compliance Officer: Amy Youtz
Quality Assurance / Improvement Officer: Emily Maxson

Committee Name	Committee Leader Name and Position
Compliance Committee	Elizabeth Stover / Compliance Committee Leader

Networks of individual practices of ACO professionals

First Agreement Period

Performance Year 2022, $6,391,503.89

First Agreement Period

Performance Year 2022
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/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	10.1	10.71
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	71.52	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	73.95	76.16
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	70.72	87.83
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	73.05	77.34
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	71.79	79.27
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	70.13	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	77.92	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	86.12	86.37
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	14.08	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	0.1398	0.151
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	CMS Web Interface	28.03	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS	84.38	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS	94	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS	91.84	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS	69.39	77
CAHPS-5	Health Promotion and Education	CAHPS for MIPS	61.85	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS	59.42	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS	72.52	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS	86.09	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS	93.19	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS	23.51	25.62

Fraud and Abuse Waivers

ACO Pre-Participation Waiver: N/A

ACO Participation Waiver: N/A