ACO Reporting Information

ACO Name and Location

CHRISTUS Health Quality Care Alliance, LLC
Previous Legal Business Entity Name: CPG Quality Care Alliance, LLC
919 Hidden Ridge Dr.
6th Floor
Irving, Texas 75038

ACO Primary Contact

Primary Contact Name

Shannon Stansbury

Primary Contact Phone Number

469 282-2529

Primary Contact Email Address

Shannon.Stansbury@christushealth.org

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Family Doctor Of Natchitoches, Inc.

N

Gayle Ann Pugh

N

Eisen Espina

N

The Kidney Clinic, LLC

N

Westover Hills Clinic, P.A.

N

K Paul Gerstenberg, D O, P A

N

M. Reza Mizani, M.D., P.A.

N

New Boston Medical Group Llp

N

Hong Catherine Trinh Medica Group Llp

N

Donald S Douglas, M.D.

N

Roussel Clement MDPA

N

Healing Grace Internal Medicine & Pediatrics, Llc

N

Griffin Family Medicine Clinic

N

Lofton Family Clinic, Md Pa

N

Stephen Spain

N

San Antonio Family Physicians

N

Breaux Internal Medicine and Pediatric Clinic

N

Comprehensive Medical Clinic Apmc

N

Procare Internal Medicine Associates, PLLC

N

Linda I. Esquivel, M.D., P.A.

N

Genesis Nephrology, LLC

N

Regina K Lee MD PA

N

Velocity Md Llc

N

Benjamin Adam Stahl

N

Smith & Smith, PLLC

N

Ramil Jumao-As, M.D., P.L.L.C.

N

Britten Cardiovascular, LLC

N

Summit OBGYN, LLC

N

Alamo Family Practice, PA

N

Mark A. Clothier, M.D., P.A.

N

Fair Medical Clinic, APMC

N

Sycamore Medical Clinic

N

Family Medical Home Pllc

N

Ann Kern

N

Pickard Gossett & Sawisky LLP

N

New Haven Family Medicine

N

Henderson Family Medicine, Pllc

N

Ambulatory Strategies Physician Group of Louisiana LLC

N

Jawad Zar Shaikh, Md, Pa

N

James Mitchell

N

Donald Doughlas

N

Brent Ardoin

N

Oscar Rodriguez, MD

N

Roberta Dowden

N

Golden Triangle Family Care Center

N

Stephen Spain

N

Westover Primary Care

N

Horacio Ramierz

N

Olga Joukovski, M.D.

N

Foot & Ankle Specialists

N

Cane River Famiy Medicine A Professional Medical Corporation

N

Hill Country Family Medicine, P.L.L.C.

N

Southern Family Healthcare, LLC

N

Joseph Puente

N

Tracie Updike
Kent Tompkins N
Family Health of South Texas PA
Ashdown Medical Clinic Pa N
Sports And Family Medicine Of Boerne Pa
Supracare Family Health PLLC N
Michael A. Barnett, M.D., P.L.L.C. N
Phoenix Health Center, PLLC
Knighton Center PLLC
Health Clinic of Moss Bluff, LLC
Alon Family Health, P.L.L.C.
Ambulatory Strategies Physician Group
Verna Family Medicine
NRMC Walk-In Clinic Ventures, LLC
Louisiana Pulmonary, Llc
Alexandria Womens Center A Medical 
Robert Walker
Medical Specialists of Texarkana
David Raines Community Health Center, Inc N
James Mitchell
Freedman Clinic of Internal Medicine, LLP
CHRISTUS Health Northern Louisiana
Christus Health Central Louisiana
CHRISTUS Health Southwestern Louisiana
Imperial Health Llp
Robert Walker
Winn Parish Nephrology, Apmc
William D. Zeichner A Medical Corporation
Chadha Medical Clinic
Martin Aviles Md A Professional Medical Corporation
Ingram Medical Clinic - Cardiovascular Division, LLC
Mary Ingram Long A Professional Medical Corporation
C Michelle Mayeux A Professional Medical Corporation
Natchitoches Parish Hospital Service District
CHRISTUS Santa Rosa Health Care Corporation
Glen G. Guillet M.D., P.A.
Eisen J. Espina, M.D., P.A.
Horacio Ramirez
Baldemar Covarrubias M.D., P.A.
Kent Tompkins
Cardiovascular Associates of San Antionio, P.A.
Valley Clinic, Inc.
Hill Country Medical Associates
Santa Rosa Family Health Center
Mother Frances Hospital Regional Health Care Center

Harrison County Hospital Association

The Good Shepherd Hospital, Inc.
Mother Frances Hospital-Jacksonville
Trinity Clinic
Mother Frances Hospital-Winnsboro
Christus Health Ark-La-Tex
Lake Area Physician Services, LLC
Joseph Puente
Primary Care Specialists, LLC
Dr. Hamid Reza Jalali, D.O., P.A.
C H Wilkinson Physician Network
Tracie Updike
Christus Health Southeast Texas
Lake Area Psychiatry, LLC
Savoy Medical Management Group, Inc.
CHRISTUS Hopkins Health Alliance
Twice As Nice Medical Clinic
Christus St. Vincent Medical Group
St. Vincent Hospital
Healthcare Express LLP

 

ACO governing body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Albrecht, M.D.  Warren  Chairman, Voting Manager  1 ACO Participant Representative  Hill Country Medical Associates 

Von Eschenbach

Andrew

Voting Manager

1

ACO Participant Representative

CHRISTUS Trinity Mother Frances Health System

Smith, M.D.

Scott

Voting Manager

1

ACO Participant Representative

CHRISTUS Trinity Clinic

Foster, M.D.

Corey

Voting Manager

1

ACO Participant Representative

Imperial Health, Llp

Garcia, M.D.

Roberto

Voting Manager

1

ACO Participant Representative

Freedman Clinic of Internal Medicine, LLP

Blow, M.D.

Osbert

Voting Manager

1

ACO Participant Representative

CHRISTUS Spohn Health System Corporation

Gerstenberg, M.D.

Paul

Voting Manager

1

ACO Participant Representative K Paul Gerstenberg, D O, P A

Beeson, M.D.

John

Voting Manager

1

ACO Participant Representative St. Vincent Hospital

Hamilton

Brad

Voting Manager 1

ACO Participant Representative

Ambulatory Strategies Physician Group/Promptu Immediate Care
Karl   Bob Voting Manager  1 ACO Participant Representative C H Wilkinson Physician Network/CHRISTUS Physician Group 
Stansbury  Shannon  Voting Manager 1 Other, Non-Participant CHRISTUS Health 
Gillean, M.D.  John Other - Voting Manager  1 Other, Non-Participant CHRISTUS Health 
Beeler  Don Voting Manager 1 Medicare Beneficiary Representative N/A

 

Key ACO clinical and administrative leadership:

Shannon Stansbury

ACO Executive

Roger Fowler, M.D.

Medical Officer

Laura Montalvo, RN

Compliance Officer

Janet Hurley, M.D.

Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Nominations Committee

Shannon Stansbury, Chair

Quality/Care Coordination Committee

Janet Hurley, M.D., Chair

Finance/Operations Committee

Bob Karl, Chair

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

81.27

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

94.89

92.63

ACO-3

CAHPS: Patients' Rating of Provider

94.69

91.93

ACO-4

CAHPS: Access to Specialists

84.17

83.52

ACO-5

CAHPS: Health Promotion and Education

55.28

60

ACO-6

CAHPS: Shared Decision Making

75.18

75.28

ACO-7

CAHPS: Health Status/Functional Status

71.76

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

20.33

27.52

ACO-8

Risk-Standardized, All Condition Readmission

14.23

14.7

ACO-35

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

18.43

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

48.07

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

65.28

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

51.04

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

6.6

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

15.54

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

100

82.72

ACO-39

Documentation of Current Medications in the Medical Record

59.15

87.54

ACO-13

Falls: Screening for Future Fall Risk

14.29

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

66.31

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

54.82

69.21

ACO-16

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

36.03

74.45

ACO-17

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

77.02

90.98

ACO-18

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

18.89

53.63

ACO-19

Colorectal Cancer Screening

52.18

61.52

ACO-20

Breast Cancer Screening

60.29

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

34.46

76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

77.2

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

28.57

18.24

ACO-41

Diabetes: Eye Exam

22.69

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

62.4

70.52

ACO-30

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

68.64

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

97.73

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

82.67

79.67

 

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 “CHRISTUS Health Quality Care Alliance, LLC” or "CHRISTUS Health Quality Care Alliance" to view the quality performance results. This ACO can also be found by using the ACO ID A38726 in the public use files on data.cms.gov.

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