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

  • Cedar Ridge Family Medicine
  • Desert Edge Medical
  • Grace Paradela MD PC
  • Medical Arts Center Clinic
  • Patrick Green MD PLLC
  • SHANE D GAGON MD, PC
  • SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC
  • Steven Salisbury
  • TANNER MEMORIAL CLINIC
  • Utah HealthCare Institute Inc
  • Utah Physicians Care Centers PC
  • Wade Family Medicine, 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
  • Markeson, John, Voting Member, 1, ACO Participant Representative, Brigham Internal Medicine
  • 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
  • Green, Nate, Voting Member, 1, ACO Participant Representative, Bonneville Family Practice
  • 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.
  • Wright, Lori, Voting Member, 1, ACO Participant Representative, Family Healthcare
  • Christensen, Evan, Voting Member, 1, ACO Participant Representative, WAYNE COMMUNITY HEALTH CENTERS 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 2017, $0

N/A - Reinvest in infrastructure

N/A - Invested in redesigned care processes/resources

N/A - Distribution to ACO Participants

100% - Primary Care Professionals

N/A - Specialists

N/A - Hospital

2017 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
77.96
80.6
ACO-2
CAHPS: How Well Your Providers Communicate
92.14
93.13
ACO-3
CAHPS: Patients’ Rating of Provider
91.68
92.31
ACO-4
CAHPS: Access to Specialists
82.72
83.32
ACO-5
CAHPS: Health Promotion and Education
56.14
62.3
ACO-6
CAHPS: Shared Decision Making
73.16
75.85
ACO-7
CAHPS: Health Status/Functional Status
72.34
73.05
ACO-34
CAHPS: Stewardship of Patient Resources
27.4
25.68
ACO-8
Risk Standardized, All Condition Readmission
14.94
15.01
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
18.28
18.46
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
59.08
79.16
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
49.35
61.74
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.8
1.93
ACO-11
Use of Certified EHR Technology
100
98.48
ACO-12
Medication Reconciliation
97.03
75.32
ACO-13
Falls: Screening for Future Fall Risk
68.63
74.38
ACO-44
Imaging Studies for Low Back Pain
76.92
67.32
ACO-14
Preventive Care and Screening: Influenza Immunization
71.34
72.52
ACO-15
Pneumonia Vaccination Status for Older Adults
60.49
72.92
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
45
70.69
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
95.69
90.48
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
64.37
61.98
ACO-19
Colorectal Cancer Screening
59.08
64.58
ACO-20
Breast Cancer Screening
72.62
70.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.33
79.89
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
19.74
16.74
ACO-41
Diabetes: Eye Exam
54.37
50.37
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
68.65
71.47
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
92.47
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.

or 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

ote: 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 A70186 in the public use files on data.cms.gov.

Payment Rule Waivers

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