ACO Participants

 
  • Bear River Medical Arts PC
  • Brigham Internal Medicine
  • Cedar Ridge Family Medicine
  • Desert Edge Medical
  • Grace Paradela MD PC
  • Jordan Landing Clinic LLC
  • Medical Arts Center Clinic
  • Patrick Green MD PLLC
  • SHANE D GAGON MD, PC
  • Shane Gagon
  • 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

ACO Governing Body

 
  • 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
  • Kinikini, Liana, Voting Member, 1, ACO Participant Representative, Jordan Landing Clinic LLC
  • 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
  • Perkins, Connie, Voting Member and Chair Person, 1, ACO Executive, Aledade, Inc.
  •  

Key Clinical and Administrative Leadership

 
  • Executive Director: Ms. Connie Perkins
  • Medical Director: Dr. John Berneike
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

 
  • 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

Composition of ACO

 
  • A network of individual practices of 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

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

Quality Reporting

2017 Quality Performance Results:

ACO#Measure NameRateACO Mean
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-1CAHPS: Getting Timely Care, Appointments, and Information77.9680.6
ACO-2CAHPS: How Well Your Providers Communicate92.1493.13
ACO-3CAHPS: Patients’ Rating of Provider91.6892.31
ACO-4CAHPS: Access to Specialists82.7283.32
ACO-5CAHPS: Health Promotion and Education56.1462.3
ACO-6CAHPS: Shared Decision Making73.1675.85
ACO-7CAHPS: Health Status/Functional Status72.3473.05
ACO-34CAHPS: Stewardship of Patient Resources27.425.68
ACO-8Risk Standardized, All Condition Readmission14.9415.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.2818.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure59.0879.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions49.3561.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.81.93
ACO-11Use of Certified EHR Technology10098.48
ACO-12Medication Reconciliation97.0375.32
ACO-13Falls: Screening for Future Fall Risk68.6374.38
ACO-44Imaging Studies for Low Back Pain76.9267.32
ACO-14Preventive Care and Screening: Influenza Immunization66.6772.52
ACO-15Pneumonia Vaccination Status for Older Adults60.4972.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up4570.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention95.6990.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan64.3761.98
ACO-19Colorectal Cancer Screening59.0864.58
ACO-20Breast Cancer Screening72.6270.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease81.3379.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control19.7416.74
ACO-41Diabetes: Eye Exam54.3750.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure68.6571.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic92.4786.86

For 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

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 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