Utah 2017 ACO
Ezra Segura
ACO Primary Contact
435-671-8660
Location
Location

Aledade Accountable Care 11, LLC
4550 Montgomery Ave, Ste 950
Bethesda, MD 20814
202-803-7979

  • BEAR RIVER MEDICAL ARTS PC
  • Cedar Ridge Family Medicine
  • Desert Edge Medical Co.
  • FOOTHILL CLINIC, LLC
  • Grace Paradela MD PC
  • Medical Arts Center Clinic
  • Patrick Green MD PLLC
  • SHANE D GAGON MD, PC
  • SOUTHWEST UTAH COMMUNITY HEALTH CENTER
  • Steven Salisbury
  • TANNER MEMORIAL CLINIC
  • Utah HealthCare Institute Inc
  • Utah Physicians Care Centers PC
  • Wade Family Medicine, Inc.
  • WASATCH PEAK FAMILY PRACTICE INC
  • WAYNE COMMUNITY HEALTH CENTERS INC

No participants are involved in a joint venture between ACO professionals and hospitals

  • Schow, Jann-Eric, Voting Member, 1, ACO Participant Representative, Bear River Medical Arts PC
  • Paradela, Grace, Physician, 1, Voting Member, ACO Participant Representative, Grace Paradela MD PC
  • Green, Nate, Voting Member, 1, ACO Participant Representative, Patrick Green MD PLLC
  • Beard, Lynn, Voting Member, 1, ACO Participant Representative, Medical Arts Center Clinic
  • Salisbury, Steven, Voting Member, 1, ACO Participant Representative, Steven Salisbury
  • Kuo, David, Voting Member, 1, ACO Participant Representative, Utah Physicians Care Centers PC
  • Newman, Steven, Voting Member, 1, ACO Participant Representative, Cedar Ridge Family Medicine
  • Gagon, Shane, Voting Member, 1, ACO Participant Representative, SHANE D GAGON MD, PC
  • Borrowman, Ryan, Voting Member, 1, ACO Participant Representative, Desert Edge Medical
  • Berneike, John, Voting Member, 1, ACO Participant Representative, Utah HealthCare Institute Inc
  • Anderson, Marc, Voting Member, 1, ACO Participant Representative, TANNER MEMORIAL CLINIC
  • Hanna, Alison, Voting Member, 1, ACO Participant Representative, Wade Family Medicine, Inc.
  • Christensen, Evan, Voting Member, 1, ACO Participant Representative, WAYNE COMMUNITY HEALTH CENTERS INC
  • Wright, Lori, Voting Member, 1, ACO Participant Representative, SOUTHWEST UTAH COMMUNITY HEALTH CENTER
  • Witbeck, Teddy, Voting Member, 1, ACO Participant Representative, FOOTHILL CLINIC, LLC
  • Degrauw, Jeffrey, Voting Member, 1, ACO Participant Representative, WASATCH PEAK FAMILY PRACTICE INC
  • Pugsley, James, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Segura, Ezra, Voting Member and Chair Person, 1, ACO Executive, Aledade, Inc.
  • Executive Director: Mr. Ezra Segura
  • Medical Director: Dr. John Berneike
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson
  • Beneficiary Engagement Committee: Dr. Allison Hanna, Michael Bullock
  • Evidence-Based Medicine Committee: Dr. Michael Shaw, Dr. Lance Barker
  • Transitions of Care Committee: Dr. Tyler Dixon, Dr. Grace Paradela
  • Compliance Committee: Dr. John Berneike, Sarah Chasson
  • Performance Improvement Committee: Dr. John Berneike
  • A network of individual practices of ACO professionals.
  • Networks of individual practices of ACO professionals

First Agreement Period

 

  • Performance Year 2018, $5,731,042
  • Performance Year 2017, $0

10% - Reinvest in infrastructure

30% - Invested in redesigned care processes/resources

60% - Distribution to ACO Participants

100% - Primary Care Professionals

N/A - Specialists

N/A - Hospital

2018 Quality Performance Results
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
84.82
86.14
ACO-2
CAHPS: How Well Your Providers Communicate
93.70
93.93
ACO-3
CAHPS: Patients’ Rating of Provider
92.92
92.45
ACO-4
CAHPS: Access to Specialists
82.69
81.50
ACO-5
CAHPS: Health Promotion and Education
55.64
59.26
ACO-6
CAHPS: Shared Decision Making
59.63
61.94
ACO-7
CAHPS: Health Status/Functional Status
75.07
73.35
ACO-34
CAHPS: Stewardship of Patient Resources
30.33
26.26
ACO-8
Risk Standardized, All Condition Readmission
13.99
14.98
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
16.03
18.59
ACO-36
All-Cause Unplanned Admissions for Patients with Diabetes
26.34
37.01
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
55.36
76.75
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
41.18
59.00
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.96
1.98
ACO-11
Use of Certified EHR Technology
100
98.20
ACO-12
Medication Reconciliation
91.62
85.91
ACO-13
Falls: Screening for Future Fall Risk
72.98
79.73
ACO-44
Imaging Studies for Low Back Pain
83.87
64.36
ACO-14
Preventive Care and Screening: Influenza Immunization
65.33
72.71
ACO-15
Pneumonia Vaccination Status for Older Adults
75.16
75.97
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
51.88
76.83
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
76.92
72.81
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
68.67
66.74
ACO-19
Colorectal Cancer Screening
69.35
68.27
ACO-20
Breast Cancer Screening
72.36
71.96
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77.41
81.47
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
10.41
15.51
ACO-41
Diabetes: Eye Exam
74.45
52.42
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
70.23
73.10
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
84.73
88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Aledade Accountable Care 11, LLC” or “Utah 2017 ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A3301 in the public use files on data.cms.gov.

Payment Rule Waivers

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