Public Reporting Information

ACO Name and Location

Pacific Accountable Care, LLC
Previous Names: N/A
15611 Pomerado Road
Mailing Suite 400
Poway, California 92064

ACO Primary Contact

Primary Contact Name	Mary Kay Payne
Primary Contact Phone Number	844-544-4054
Primary Contact Email Address	admin@pacificaccountablecare.com

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Jason A. Black M.D., Inc.	N
Colorectal Center of San Diego, Inc.	N
Vista Community Clinic	N
Arch Health Partners	N
Minimally Invasive Surgeons of North County	N
John H Clancy Do And Tara Leigh Clancy Do Medical Corporation	N
Daniel Strub Md Inc	N
Clinicas De Salud Del Pueblo Inc.	N
Shafi Khalid Md Pc	N
Robert Stephenson	N
Imperial Valley Multi-Specialty Medical Group Inc	N
Bruce J Sachs Md Professional Corporation	N
Carlsbad Village Family Practice Medical Associates Inc	N
Neil L. Halim, Md Inc.	N
Michelle Gonzales Md Pc	N
Hyman Sacks	N
Perrin Curran	N
Andres Zimmermann	N
Melissa Hurd Medical Corporation	N
Marcelo Rivera	N
Gabriel T Fabella and Adult Medical Group	N
Palomar Health	N
Alfredo Quinonez M.D., Inc	N
Joseph Castrejon Md Pc	N

ACO Governing Body:

Member			Member's Voting Power - Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Last Name	First Name	Title/Position		Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Balikian, M.D.	Philip	Manager	1	ACO Participant Representative	Arch Health Partners
Hansen	Diane	Manager	1	ACO Participant Representative	Palomar Health
Wells, M.D.	Todd	Manager	1	ACO Participant Representative	Arch Health Partners
Maletz, M.D.	Louis	Manager	1	ACO Participant Representative	Arch Health Partners
Rivera, M.D.	Marcelo	Manager	1	ACO Participant Representative	Marcelo Rivera
Shephard, R.N.	Rena	Manager	1	Medicare Beneficiary Representative	N/A
Panicker, M.D.	Cibu	Manager	1	ACO Participant Representative	Vista Community Clinic
Curran, M.D.	Perrin	Manager	1	ACO Participant Representative	Perrin Curran
Vacant		Manager	1	ACO Participant Representative
Vacant		Manager	1	ACO Participant Representative

Key ACO Clinical and Administrative Leadership:

Diane Hansen	ACO Executive
Louis Maletz, MD	Medical Director
Dianne St. John	Compliance Officer
Louis Maletz, MD	Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Nominations Committee	Belinda Dure-Smith, M.D.
Quality Committee	Louis Maletz, M.D.
Finance Committee	Vacant
Network Development Committee	Louis Maletz, M.D.
Education and Training Committee	Jason Black, M.D.

Types of ACO participants, or combinations of participants, that formed the ACO:

Partnerships or joint venture arrangements between hospitals and ACO professionals
Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period
- Performance Year 2018, $0
- Performance Year 2017, $2,630,942

Shared Savings Distribution

First Agreement Period
- Performance Year 2018
Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A
- Performance Year 2017
Proportion invested in infrastructure: 50%
Proportion invested in redesigned care processes/resources: 15%
Proportion of distribution to ACO participants: 35%

Quality Performance Results

2018 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	83.43	86.14
ACO-2	CAHPS: How Well Your Providers Communicate	93.50	93.93
ACO-3	CAHPS: Patients' Rating of Provider	91.68	92.45
ACO-4	CAHPS: Access to Specialists	82.67	81.50
ACO-5	CAHPS: Health Promotion and Education	50.57	59.26
ACO-6	CAHPS: Shared Decision Making	58.62	61.94
ACO-7	CAHPS: Health Status/Functional Status	74.05	73.35
ACO-34	CAHPS: Stewardship of Patient Resources	25.97	26.26
ACO-8	Risk Standarized, All Condition Readmission	14.57	14.98
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission Measure (SNFRM)	18.42	18.59
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	35.27	37.01
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	65.53	76.75
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	54.86	59.00
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.61	1.98
ACO-11	Use of Certified EHR Technology	93.04	98.20
ACO-12	Medication Reconciliation Post-Discharge	85.22	85.91
ACO-13	Falls: Screening for Future Fall Risk	46.17	79.73
ACO-44	Imaging Studies for Low Back Pain	62.50	64.36
ACO-14	Preventive Care and Screening: Influenza Immunization	61.12	72.71
ACO-15	Pneumonia Vaccination Status for Older Adults	70.65	75.97
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	55.61	76.83
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	25.00	72.81
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	39.89	66.74
ACO-19	Colorectal Cancer Screening	27.77	68.27
ACO-20	Breast Cancer Screening	35.53	71.96
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	83.72	81.47
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	20.75	15.51
ACO-41	Diabetes: Eye Exam	44.52	52.42
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	75.47	73.10
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	87.95	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.

For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
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 "Pacific Accountable Care, LLC" to view the quality performance results. This ACO can also be found by using the ACO ID A3379 in the public use files on data.cms.gov.

Payment Rule Waivers

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