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

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.   

 

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.

 

 

 

 
 

 

Print Print | Sitemap
© Pacific Accountable Care, LLC