Public Reporting Information

ACO Name and Location

Pacific Accountable Care, LLC
Previous Names: N/A
15611 Pomerado Road
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)
Bruce J Sachs Md Professional Corporation	N
Andres Zimmerman	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
Hyman Sacks	N
Alfredo Quinonez M.D., Inc	N
Marcelo Rivera	N
Alejandro G Hinojosa M D Inc	N
Phillip Dickinson, M.D., A Professional Corporation	N
Ralph Armstrong	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
Marni Friedman	N
Jason Black	N
Wilson Liu	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
Mohammad Barra	N
Nazhat Sharma	N
Salinas Valley Urology Associates	N
Cheung Leung	N
Paul Percival, Md Inc	N
J Casey Md Inc S Green Md Inc & D Coggins Md Inc A Medical Part	N
Lawrence Birndorf	N
Robert Stephenson	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
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		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.	Marcel	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
Quality Committee	Louis Maletz, M.D.
Finance Committee	Philip Balikian, M.D.
Nominations Committee	Belinda Dure-Smith, 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 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-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 and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included reporting due to a non-material technical error.

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 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.