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

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.   

 

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.

 

 

 

 
 

 

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