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Western ACO Shared Savings Program Public Reporting

Performance Year 2021

ACO Name and Location:

Western Accountable Care Organization, LLC

715 Horizon Drive, Suite 485

Grand Junction, CO 81506

 

ACO Primary Contact:

Marnell Bradfield

970-986-3679

Marnell.Bradfield@wha1.org

 

Organizational Information

ACO Participants ACO Participant in Joint Venture
ASPEN VALLEY HOSPITAL CLINICS, PLLC N
ASPEN VALLEY HOSPITAL DISTRICT N
CEDAR POINT HEALTH LLC N
COMMUNITY MEDICAL GROUP LLC N
EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT N
GRAND RIVER HOSPITAL DISTRICT N
GUNNISON VALLEY FAMILY PHYSICIANS N
GUNNISON VALLEY HOSPITAL N
LAKE FORK HEALTH SERVICES DISTRICT N
LINDA M. PETERSON, MD, PLLC N
MIDVALLEY FAMILY PRACTICE PC N
MOAB VALLEY HEALTHCARE INC N
MONTROSE MEMORIAL HOSPITAL, INC N
MOUNTAIN MEDICAL CENTER LLC N
Paula Kadison MD PC N
RANGELY HOSPITAL DISTRICT N
THE MEMORIAL HOSPITAL N

 

ACO Governing Body:

Member

Last Name

Member

First Name

Member

Title/Position

Member’s Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Phillips Cory Member 1 ACO Participant Representative CEDAR POINT HEALTH LLC
Gerson Elaine Member 1 ACO Participant Representative ASPEN VALLEY HOSPITAL DISTRICT
Coombs Jim Member 1 ACO Participant Representative GRAND RIVER HOSPITAL DISTRICT
Lokey Bryce Member 1 ACO Participant Representative CEDAR POINT HEALTH LLC
Wigington Yvonne Member 1 ACO Participant Representative MONTROSE MEMORIAL HOSPITAL, INC
Mink Barry Member 1 Medicare Beneficiary Representative N/A
Wren Kyle Member 1 ACO Participant Representative RANGELY HOSPITAL DISTRICT
Sellers Liz Member 1 ACO Participant Representative EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Lassaux Marc Member 1 Stakeholder Member N/A
Belcher Paula Member 1 ACO Participant Representative THE MEMORIAL HOSPITAL
Field Jenny Member 1 ACO Participant Representative GUNNISON VALLEY HOSPITAL
Skillicorn John Member 1 ACO Participant Representative COMMUNITY MEDICAL GROUP LLC
Amrich Jason Member 1 ACO Participant Representative GUNNISON VALLEY HOSPITAL

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Marnell Bradfield

Medical Director: Dr. Kevin Fitzgerald

Compliance Officer: Sharma Vaughn

Quality Assurance/Improvement Officer: Marnell Bradfield

 

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Compliance Committee Elaine Gerson, Chair
Finance & Audit Committee Cory Phillips, Chair
Medicare Council Dr. Bryce Lokey
Executive Committee Cory Philips, Chair

 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Rural Health Clinic (RHC)

 

 Shared Savings Program Public Reporting Template

ACO Name and Location

Western Accountable Care Organization, LLC

715 Horizon Drive, Suite 485

Grand Junction, CO 81506

 

ACO Primary Contact

Marnell Bradfield

970-986-3679

Marnell.Bradfield@wha1.org

 

 

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
ASPEN VALLEY HOSPITAL CLINICS, PLLC N
ASPEN VALLEY HOSPITAL DISTRICT N
CEDAR POINT HEALTH LLC N
COMMUNITY MEDICAL GROUP LLC N
EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT N
GRAND RIVER HOSPITAL DISTRICT N
GUNNISON VALLEY FAMILY PHYSICIANS N
GUNNISON VALLEY HOSPITAL N
LAKE FORK HEALTH SERVICES DISTRICT N
LINDA M. PETERSON, MD, PLLC N
MIDVALLEY FAMILY PRACTICE PC N
MOAB VALLEY HEALTHCARE INC N
MONTROSE MEMORIAL HOSPITAL, INC N
MOUNTAIN MEDICAL CENTER LLC N
Paula Kadison MD PC N
RANGELY HOSPITAL DISTRICT N
THE MEMORIAL HOSPITAL N

 

ACO Governing Body:

Member

First Name

Member

Last Name

Member

Title/Position

Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Phillips Cory Member 1 ACO Participant Representative CEDAR POINT HEALTH LLC
Gerson Elaine Member 1 ACO Participant Representative ASPEN VALLEY HOSPITAL DISTRICT
Coombs Jim Member 1 ACO Participant Representative GRAND RIVER HOSPITAL DISTRICT
Lokey Bryce Member 1 ACO Participant Representative CEDAR POINT HEALTH LLC
Wigington Yvonne Member 1 ACO Participant Representative MONTROSE MEMORIAL HOSPITAL, INC
Mink Barry Member 1 Medicare Beneficiary Representative N/A
Wren Kyle Member 1 ACO Participant Representative RANGELY HOSPITAL DISTRICT
Sellers Liz Member 1 ACO Participant Representative EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Lassaux Marc Member 1 Stakeholder Member N/A
Belcher Paula Member 1 ACO Participant Representative THE MEMORIAL HOSPITAL
Field Jenny Member 1 ACO Participant Representative GUNNISON VALLEY HOSPITAL
Skillicorn John Member 1 ACO Participant Representative COMMUNITY MEDICAL GROUP LLC
Amrich Jason Member 1 ACO Participant Representative GUNNISON VALLEY HOSPITAL

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Marnell Bradfield

Medical Director: Dr. Kevin Fitzgerald

Compliance Officer: Sharma Vaughn

Quality Assurance/Improvement Officer: Marnell Bradfield

 

Associated Committees and Committee Leadership:

 

Committee Name Committee Leader Name and Position
Compliance Committee Elaine Gerson, Chair
Finance & Audit Committee Cory Phillips, Chair
Medicare Council Dr. Bryce Lokey
Executive Committee Cory Philips, Chair

 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Rural Health Clinic (RHC)

 

Shared Savings and Losses

Amount of Shared Savings/Losses: 

  • Third Agreement Period
    • Performance Year 2021, $0
  • Second Agreement Period
    • Performance Year 2020, $0
  • First Agreement Period
    • Performance Year 2019, $0

 

Shared Savings Distribution: 

  • Third Agreement Period N/A
  • Second Agreement Period N/A
  • First Agreement Period N/A

 

Quality Performance Results:

MIPS CQMs

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

ACO Quality Measure Number Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 16.83

 

12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 66.24

 

74.38
236 Controlling High Blood Pressure 70.67

`

74.87
318 Falls: Screening for Future Fall Risk 51.4

 

87.03
110 Preventative Care and Screening: Influenza Immunization 71.49

 

80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 62.9

 

80.97
113 Colorectal Cancer Screening 53.21

 

73.63
112 Breast Cancer Screening 64.09

 

75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 74.61

 

84.24
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1322 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 28.75 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 79.24 84.67
CAHPS-2 How Well Providers Communicate 92.77 93.56
CAHPS-3 Patient’s Rating of Provider 90.51 92.19
CAHPS-4 Access to Specialists 73.05 78.80
CAHPS-5 Health Promotion and Education 58.9 61.61
CAHPS-6 Shared Decision Making 60.28 60.89
CAHPS-7 Health Status and Functional Status 72.15 71.78
CAHPS-8 Care Coordination 26.76 85.66
CAHPS-9 Courteous and Helpful Office Staff 90.34 91.88
CAHPS-11 Stewardship of Patient Resources 84.05 24.71

 

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

 

There are no payment rule waivers to disclose.

There are no fraud and abuse waivers to disclose.