Public Reporting Information

ACO Name and Location

Pacific Accountable Care, LLC
Previous Names: N/A
15611 Pomerado Road
Suite 575
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)

Bruce J Sachs Md Professional Corporation

N

Mohammad Barra N

Andres Zimmerman

N

Ralph Armstrong

N

Perrin Curran

N

Shafi Khalid Md Pc N
Joseph Castrejon Md Pc N

Marie Claudette Grageda

N

El-Bershawi Medical Corp N
Michelle Gonzales Md Pc N

Hector Heredia, Md A Professional Corporation

N

Arch Health Partners

N

Melissa Hurd Medical Corporation

N

Jason A. Black M.D.,Inc.

N

Robert Stephenson N

Hyman Sacks

N

Alfredo Quinonez M.D., Inc N

Marcelo Rivera

N

Cheung Leung

N

Alejandro G Hinojosa M D Inc N

Lawrence Birndorf

N

Phillip Dickinson, M.D., A Professional Corporation N

Kevin D Stuart, M.D A Medical Corporation

N

Colorectal Center of San Diego, Inc. N

John H Clancy Do And Tara Leigh Clancy Do Medical Corporation

N

Carlsbad Village Family Practice Medical Associates Inc

N

Imperial Valley Multi-Specialty Medical Group Inc

N

Nazhat Sharma

N

Marni Friedman N

Jason Black

N

Wilson Liu

N

International Health Providers, LLC N

Visoth Chhiap, M.D. A Professional Corporation

N

John V Crowder Jr Md Inc

N

Conrad Hamako , MD, Inc.

N

Enis M Martinez, M. D. A Proffessional Corporation

N

Salinas Valley Urology Associates

N

Paul Percival, Md Inc

N

J Casey Md Inc S Green Md Inc & D Coggins Md Inc A Medical Part N

Neil L. Halim, Md Inc.

N

Gabriel T Fabella Md Inc

N

Precision Orthopedics

N

Martin M. Bress Md Apc

N

E And D Nchekwube, Md, Inc

N

Benedict T Carota, A Prof. Corp.

N

Felicidad G Lao-Domingo, Inc.

N

Clinicas De Salud Del Pueblo Inc.

N

Vista Community Clinic

N

Daniel Strub Md Inc

N

ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP, INC

N

Valley Center Family Practice Medical Group Inc

N

Waring Court Pediatric and Adult Medical Group

N
Palomar Health 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/Interim Chair

1

Participant

Arch Health Partners

Hansen

Diane

Manager/Interim CEO

1

Participant

Palomar Health

Wells, M.D.

Todd Louis

Secretary/Treasurer

1

Participant

Arch Health Partners

Maletz, M.D.  Louis Medical Director 1 Participant Arch Health Partners

Stenzel, M.D.

Loretta

Member

1

Participant

Vista Community Clinic

Rivera, M.D. 

Marcelo

Member

1

Participant

Marcelo Rivera

Shephard, R.N.

Rena

Member

1

Medicare Beneficiary Representative

n/a

Vacant (3)     1 Participant  

 

Key ACO Clinical and Administrative Leadership:

Diane Hansen

ACO Executive

Louis Maletz

Medical Director

Greg Daniels

Compliance Officer

Mary Kay Payne Quality Assurance/Improvement Officer

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Quality Committee

Louis Maletz, M.D., Chair

Finance Committee

Hugh King, M.D., Chair

Nominations Committee

Philip Balikian, M.D., Chair

   

 

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 2017, $2,630,942

Shared Savings Distribution

  • First Agreement Period​ 
    • 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

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

77.23

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.62

93.13

ACO-3

CAHPS: Patients' Rating of Provider

91.96

92.31

ACO-4

CAHPS: Access to Specialists

79.60

83.32

ACO-5

CAHPS: Health Promotion and Education

58.18

62.30

ACO-6

CAHPS: Shared Decision Making

76.63

75.85

ACO-7

CAHPS: Health Status/Functional Status

73.72

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

17.51

25.68

ACO-8

Risk Standarized, All Condition Readmission

14.85

15.01

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

18.38

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

46.60

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

66.70

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

49.74

61.74

ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.60 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 100.00 75.32

ACO-13

Falls: Screening for Future Fall Risk 

21.82

74.38

ACO-44

Imaging Studies for Low Back Pain

80.77

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

43.04

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

14.48

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

0.54

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

25.23

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

8.13

61.98

ACO-19

Colorectal Cancer Screening

23.77

64.58

ACO-20

Breast Cancer Screening

20.67

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

0.19

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

46.93

16.74

ACO-41

Diabetes: Eye Exam  

30.06

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

41.93

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

37.54

86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.   

 

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 A40688 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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