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
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
Waring Court Pediatric 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:

Mary Kay Payne

ACO Executive

Louis Maletz, MD

Medical Director

Dianne St. John

Compliance Officer

Fritz Steen, RN 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 2019, $0​​
    • Performance Year 2018, $0
    • Performance Year 2017, $2,630,942

Shared Savings Distribution

  • First Agreement Period​ 
    • ​Performance Year 2019
      • 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 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

2019 Quality Performance Results:

 

ACO #

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

84.82

85.86

ACO-2

CAHPS: How Well Your Providers Communicate

92.52

94.11

ACO-3

CAHPS: Patients's Rating of Provider

91.65

92.69

ACO-4

CAHPS: Access to Specialists

85.41

81.54

ACO-5

CAHPS: Health Promotion and Education

55.12

60.44

ACO-6

CAHPS: Shared Decision Making

55.98

62.78

ACO-7

CAHPS: Health Status/Functional Status

75.89

73.79

ACO-34

CAHPS: Stewardship of Patient Resources

24.90

26.17

ACO-45

CAHPS: Courteous and Helpful Office Staff

92.32

92.84

ACO-46

CAHPS: Care Coordination

82.96

86.89

ACO-8

Risk Standardized, All Condition Readmission

15.20

14.86

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

51.06

58.15

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)

1.6

1.87

ACO-13

Falls:  Screening for Future Fall Risk

48.67

84.04

ACO-14

Preventative Care and Screening:  Influenza Immunization

58.38

74.77

ACO-17

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

34.62

78.04

ACO-18

Preventive Care and Screening:  Screening for Depression and Follow-Up Plan

41.36

70.40

ACO-19

Colorectal Cancer Screening

42.10

70.76

ACO-20

Breast Cancer Screening

41.76

73.84

ACO-42

Statin Therapy for the Preventation and Treatment of Cardiovascular Disease

88.22

82.17

ACO-27

Diabetes:  Hemoglobin A1c Poor Control (>9%)

42.16

13.88

ACO-28

Controlling High Blood Pressure

69.70

75.04

 

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

 

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov

 

 

 

 

 

 

 
 

 

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