ACO Reporting Information

ACO Name and Location

CHRISTUS Health Quality Care Alliance, LLC
Previous Names: 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 Douglas

N

Brent Ardoin

N

Oscar Rodriguez, MD

N

Roberta Dowden

N

Golden Triangle Family Care Center

N

Westover Primary Care

N

Horacio Ramierz

N

Olga Joukovski, M.D.

N

Foot & Ankle Specialists

N

Cane River Family 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
Freedman Clinic of Internal Medicine, LLP
CHRISTUS Health Northern Louisiana
Christus Health Central Louisiana
CHRISTUS Health Southwestern Louisiana
Imperial Health Llp
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
CHRISTUS Spohn Health System Corporation
Glen G. Guillet M.D., P.A.
Eisen J. Espina, M.D., P.A.
Baldemar Covarrubias M.D., P.A.
Cardiovascular Associates of San Antonio, 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
Primary Care Specialists, LLC
Dr. Hamid Reza Jalali, D.O., P.A.
C H Wilkinson Physician Network
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 – Expressed as a percentage or number

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

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
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

Medical Officer

Laura Montalvo

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 2017, $0
    • Performance Year 2016, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2017
      • 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 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

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

81.51

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.02

93.13

ACO-3

CAHPS: Patients' Rating of Provider

93.02

92.31

ACO-4

CAHPS: Access to Specialists

85.83

83.32

ACO-5

CAHPS: Health Promotion and Education

66.83

62.30

ACO-6

CAHPS: Shared Decision Making

79.16

75.85

ACO-7

CAHPS: Health Status/Functional Status

70.40

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

23.86

25.68

ACO-8

Risk-Standardized, All Condition Readmission

15.14

15.01

ACO-35

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

19.41

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

49.99

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

76.50

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

56.95

61.74

ACO-43

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

2.19

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

88.68

75.32

ACO-13

Falls: Screening for Future Fall Risk

71.94

74.38

ACO-44 Imaging Studies for Low Back Pain  63.89  67.32 

ACO-14

Preventive Care and Screening: Influenza Immunization

66.67

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

75.82

72.92

ACO-16

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

65.08

70.69

ACO-17

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

95.88

90.48

ACO-18

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

54.13

61.98

ACO-19

Colorectal Cancer Screening

61.22

64.58

ACO-20

Breast Cancer Screening

71.55

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.81

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

17.88

16.74

ACO-41

Diabetes: Eye Exam

55.45

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

65.59

71.47

ACO-30

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

82.21

86.86

 

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.