Rocky Mountain ACO

ACO Name and Location

Rocky Mountain Accountable Care Organization, LLC
Previous Names: N/A
715 Horizon Drive
Suite 485
Grand Junction, CO 81506

ACO Primary Contact

Primary Contact Name Marguerite Tuthill
Primary Contact Phone Number 970-986-3677
Primary Contact Email Address Marguerite.tuthill@communitycarealliance.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
THE MEMORIAL HOSPITAL N
GRAND RIVER HOSPITAL DISTRICT N
MOUNTAIN FAMILY HEALTH CENTERS N
RANGELY HOSPITAL DISTRICT N
Eastern Rio Blanco County Health 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
Coombs Jim Secretary Treasurer 1 ACO Participant Grand River Hospital District
Davison Paula Member 1 ACO Participant The Memorial Hospital
Dunham Diane Member 1 Medicare Beneficiary
Dunker Tammy Member 1 ACO Participant Rangely Hospital District
Harman Ken Chair 1 ACO Participant Eastern Rio Blanco County Health
Heckert, DO Anneliese Member 1 ACO Participant Mountain Family Health Centers
Iacuone Karen Member 1 ACO Participant Eastern Rio Blanco County Health
Kame Lois Member 1 ACO Participant Grand River Hospital District
Trantow George Member 1 Community Representative
Vincent Alex Member 1 ACO Participant Mountain Family Health Centers

 

Key ACO clinical and administrative leadership:

Connie Mack ACO Executive
Gregg Davis Medical Director
Martie Ross Compliance Officer
Marguerite Tuthill Compliance Officer
Cathryn Benedict Quality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Medicare Council Gregg Davis, MD, Chair
Finance & Audit Committee Ken Harman, Chair
Compliance Committee Tammy Dunker, Chair

 

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

  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of 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 78.34 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.40 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.97 92.31
ACO-4 CAHPS: Access to Specialists 83.54 83.32
ACO-5 CAHPS: Health Promotion and Education 58.47 62.30
ACO-6 CAHPS: Shared Decision Making 79.27 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.63 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 23.68 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.37 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.84 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 79.19 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.85 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.85 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 100.00 75.32
ACO-13 Falls: Screening for Future Fall Risk 36.70 74.38
ACO-44 Imaging Studies for Low Back Pain 73.08 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 65.14 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 68.68 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 32.24 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.26 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 39.89 61.98
ACO-19 Colorectal Cancer Screening 56.60 64.58
ACO-20 Breast Cancer Screening 64.87 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.42 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.72 16.74
ACO-41 Diabetes: Eye Exam 46.28 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 67.41 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 92.80 86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

 

Note: In the Quality Performance Results file(s) above, search for “Rocky Mountain Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A76184 in the public use files on data.cms.gov.

Payment Rule Waivers

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