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:
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ACO Participants |
ACO Participant in Joint Venture (Enter Y or N) |
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N | |||
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N 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 |
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|
Last Name |
First Name |
Title/Position |
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|
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 |
| Paz, M.D. | Alejandro | Manager | 1 | ACO Participant Representative | Graybill Medical Group Inc. |
| Rodriguez, M.D. | George | Manager | 1 | ACO Participant Representative | Graybill Medical Group Inc. |
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%
- Performance Year 2019
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 |
|
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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