San Juan ACO

ACO Name and Location

San Juan 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)
LINDA M. PETERSON, MD, PLLC N
OLATHE COMMUNITY CLINIC INC N
SAN JUAN FAMILY MEDICINE PC N
LAKE FORK HEALTH SERVICES DISTRICT N
ASPEN VALLEY HOSPITAL CLINICS, PLLC N
GUNNISON VALLEY FAMILY PHYSICIANS N
DELTA MEMORIAL HOSPITAL N
CEDAR POINT HEALTH LLC N
ASPEN VALLEY HOSPITAL DISTRICT N
UNCOMPAHGRE COMBINED CLINICS N
DAVID J BORCHERS MD PC N
MOUNTAIN MEDICAL CENTER LLC N
Mindy Miller MD PC N
MONTROSE MEMORIAL HOSPITAL N
GUNNISON VALLEY HOSPITAL 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
Borchers, MD Dave Member 1 ACO Participant David Borchers MD, PC
Carroll Jeremy Member 1 ACO Participant Olathe Community Clinic Inc
Cleckler Jason Chair 1 ACO Participant Delta County Memorial Hospital
Kiser James Vice Chair 1 ACO Participant Montrose Memorial Hospital
Lokey, MD Bryce Member 1 ACO Participant Cedar Point Health LLC
Reed, DO Michelle Member 1 ACO Participant Delta County Memorial Hospital
Ressler Dave Member 1 ACO Participant Aspen Valley Hospital District
Riddell Pat Member 1 Community Representative
Collins Julie Member 1 Medicare Beneficiary
Santilli Rob Secretary Treasurer 1 ACO Participant Gunnison Valley Hospital

 

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 Rob Santilli, Chair
Compliance Committee Jason Cleckler, 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 79.82 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.92 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.13 92.31
ACO-4 CAHPS: Access to Specialists 83.69 83.32
ACO-5 CAHPS: Health Promotion and Education 57.88 62.30
ACO-6 CAHPS: Shared Decision Making 76.05 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.91 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 27.16 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.63 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.08 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 66.97 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 48.68 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.54 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 91.36 75.32
ACO-13 Falls: Screening for Future Fall Risk 49.26 74.38
ACO-44 Imaging Studies for Low Back Pain 70.00 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 70.97 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 74.71 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 60.60 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.36 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 38.37 61.98
ACO-19 Colorectal Cancer Screening 70.84 64.58
ACO-20 Breast Cancer Screening 72.65 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.44 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.69 16.74
ACO-41 Diabetes: Eye Exam 58.02 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 71.16 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.05 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 “San Juan Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A20311 in the public use files on data.cms.gov.

Payment Rule Waivers

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