ACO Participants

  • Arkansas Central Primary Care PLLC
  • Arkansas Primary Care Clinics PA
  • Autumn Road Family Practice, P.A
  • Ferguson Health Care
  • James E. Zini, D.O, P.A
  • Leslie Clinic, P.A.
  • North Little Rock Primary Care and Diagnostic Clinic PLLC
  • Randy D. Walker, M.D., P.L.L.C.
  • Randy Walker
  • Saline Med-Peds Group, Inc
  • SAMA Healthcare Services PA
  • Shane Higginbotham MD PA
  • Shawn Purifoy, M.D., P.A.
  • The Winston Clinic PA

ACO Governing Body

  • Cerrato, Deborah, Physician, 1, Voting Member, Arkansas Central Primary Care PLLC
  • Pounders, Philip, Physician, 1, Voting Member, Autumn Road Family Practice, P.A
  • Zini, James, Physician, 1, Voting Member, James E. Zini, D.O, P.A
  • Walker, Angie, Office Manager, 1, Voting Member, Randy D. Walker, M.D., P.L.L.C.
  • Higginbotham, Michael, Physician, 1, Voting Member, Shane Higginbotham MD PA
  • Applegate, Eva, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Lewis, Derek, Physician, 1, Voting Member, Arkansas Primary Care Clinics PA
  • Ferguson, Clay, Physician, 1, Voting Member, Ferguson Health Care
  • Sra, Surinder, Physician, 1, Voting Member, INTERNAL MEDICINE DIAGNOSTICS INC
  • Leslie, Tom, Physician, 1, Voting Member, Leslie Clinic, P.A.
  • Martindale, Cindy, 1, Voting Member, Saline Med-Peds Group, Inc
  • Callaway, Matthew, Physician, 1, Voting Member, SAMA Healthcare Services PA
  • Purifoy, Shawn, Physician, 1, Voting Member, Shawn Purifoy, M.D., P.A.
  • Winston, Scott, Physician, 1, Voting Member, The Winston Clinic PA
  • Bowles, Dan, Voting Member and Chair, 1, Aledade, Inc., N/A

Key Clinical and Administrative Leadership

  • Executive Director: Dan Bowles
  • Medical Director: Dr. Shawn Purifoy
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

  • Beneficiary Engagement Committee: Eva Applegate
  • Evidence-Based Medicine Committee: Dr. Philip Pounders, Dr. Matt Callaway, Dr. Tom Leslie, Angie Walker
  • Transitions of Care Committee: Dr. Shawn Purifoy
  • Compliance Committee: Dr. Matt Callaway
  • Performance Improvement Committee: Dr. James Zini

Composition of ACO

  • ACO professionals in a group practice arrangement.
  • Partnerships or joint venture arrangements between hospitals and ACO professionals.
  • Networks of individual practices of ACO professionals.

Amount of Shared Savings/Losses

  • First Agreement Period
  • Performance Year 2017, $0

How Shared Savings Are Distributed

First Agreement Period

Performance Year 2017


Reinvest in infrastructure


Invested in redesigned care processes/resources


Distribution to ACO Participants


Primary Care Professionals





Quality Reporting

2017 Quality Performance Results:

2017 Quality Performance Results:   
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.
ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information79.0680.6
ACO-2CAHPS: How Well Your Providers Communicate93.5593.13
ACO-3CAHPS: Patients’ Rating of Provider92.3992.31
ACO-4CAHPS: Access to Specialists84.7883.32
ACO-5CAHPS: Health Promotion and Education55.0762.3
ACO-6CAHPS: Shared Decision Making74.675.85
ACO-7CAHPS: Health Status/Functional Status68.7273.05
ACO-34CAHPS: Stewardship of Patient Resources20.2425.68
ACO-8Risk Standardized, All Condition Readmission14.8415.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.0118.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure73.2279.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions56.7861.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))2.31.93
ACO-11Use of Certified EHR Technology10098.48
ACO-12Medication Reconciliation93.4475.32
ACO-13Falls: Screening for Future Fall Risk74.7774.38
ACO-44Imaging Studies for Low Back Pain67.6967.32
ACO-14Preventive Care and Screening: Influenza Immunization73.2272.52
ACO-15Pneumonia Vaccination Status for Older Adults76.0972.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up43.470.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention96.5990.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan64.5461.98
ACO-19Colorectal Cancer Screening73.6864.58
ACO-20Breast Cancer Screening69.6970.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease81.1579.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control18.316.74
ACO-41Diabetes: Eye Exam58.0450.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure63.5871.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic97.186.86

For 2017 Quality Performance Results please visit:

Note: In the Quality Performance Results file(s) above, search for “Aledade Arkansas ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A13910 in the public use files on

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule Waiver
  • The ACO is participating in a medication management agreement with CVS. The full waiver can be found here.
  • Our ACO operates a “TCM Completion Challenge” view the Waiver