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)

Gayle Ann Pugh

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

Lofton Family Clinic, Md Pa

N

San Antonio Family Physicians

N

Ferguson Health Care

N

Procare Internal Medicine Associates, PLLC

N

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

N

Regina K Lee MD PA

N

Benjamin Adam Stahl

N

Smith & Smith, PLLC

N

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

N

Alamo Family Practice, PA

N

Family Medical Home Pllc

N

Pickard Gossett & Sawisky LLP

N

Jawad Zar Shaikh, Md, Pa

N

James Mitchell

N

Donald Douglas

N

Golden Triangle Family Care Center

N

Westover Primary Care

N

Horacio Ramirez

N

Olga Joukovski, M.D.

N

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

N

Tracie Updike

N

Family Health of South Texas PA

N

Diagnostic Group Integrated Healthcare System, PLLC

N

Ashdown Medical Clinic Pa

N

Sports And Family Medicine Of Boerne Pa

N

Supracare Family Health PLLC

N

Knighton Center PLLC

N

Alon Family Health, P.L.L.C.

N

Ambulatory Strategies Physician Group

N

Medical Specialists of Texakrana

N

James Mitchell

N

CHRISTUS Santa Rosa Health Care Corporation

N

Christus Spohn Health System Corporation

N

Glen G. Guillet M.D., P.A.

N

Horacio Ramirez

N

Cardiovascular Associates of San Antonio, P.A.

N

Valley Clinic, Inc.

N

Hill Country Medical Associates

N

Santa Rosa Family Health Center

N

Christus Health Ark-La-Tex

N

Dr. Hamid Reza Jalali, D.O., P.A.

N

C H Wilkinson Physician Network

N

Tracie Updike

N

Christus Health Southeast Texas

N

Twice As Nice Medical Clinic

N

Healthcare Express LLP

N

 

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

Mullican, M.D.

David

Voting Manager

1

ACO Participant Representative

C H Wilkinson Physician Network/CHRISTUS Physician Group

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

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

Beeler

Don

Voting Manager

1

Medicare Beneficiary Representative

NA

Gillean, M.D.

John

Other – Ex-Officio, Non-Voting Manager

0

Other Non-Participant

CHRISTUS Health

 

Key ACO clinical and administrative leadership:

Shannon Stansbury

ACO Executive

Roger Fowler, M.D.

ACO Chief Medical Officer

Laura Montalvo

ACO Compliance Officer

Roger Fowler, 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

David Mullican, 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.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.