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Shared Savings Program Public Reporting

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
EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT N
GRAND RIVER HOSPITAL DISTRICT N
LINDA M. PETERSON, MD, PLLC N
MOAB VALLEY HEALTHCARE INC N
MONTROSE MEMORIAL HOSPITAL, INC 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
Gerson Elaine Member 1 ACO Participant Representative ASPEN VALLEY HOSPITAL DISTRICT
Belcher Paula Member 1 ACO Participant Representative THE MEMORIAL HOSPITAL
Mink Barry Member 1 Medicare Beneficiary NA
Coombs Jim Member 1 ACO Participant Representative GRAND RIVER HOSPITAL DISTRICT
Wigington Yvonne Member 1 ACO Participant Representative MONTROSE MEMORIAL HOSPITAL, INC
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 Community Stakeholder Representative Quality Health Network
Franklin Alyssa Member 1 ACO Participant Representative Aspen Valley Primary Care, Aspen Valley Hospital District

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Marnell Bradfield
Medical Director: Dr. Kevin Fitzgerald
Compliance Officer: Marnell Bradfield
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 TBD
Medicare Council Bryce Lokey
Executive Committee Elaine Gerson, Vice 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
    • Performance Year 2021
    • Proportion invested in infrastructure: NA%
    • Proportion invested in redesigned care processes/resources: NA%
    • Proportion of distribution to ACO participants: NA%
  • Second Agreement Period
    • Performance Year 2020
    • Proportion invested in infrastructure: NA%
    • Proportion invested in redesigned care processes/resources: NA%
    • Proportion of distribution to ACO participants: NA%
  • First Agreement Period
    • Performance Year 2019
    • Proportion invested in infrastructure: NA%
    • Proportion invested in redesigned care processes/resources: NA%
    • Proportion of distribution to ACO participants: NA%

 

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 12.46 16.83
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 74.38 66.24
236 Controlling High Blood Pressure 74.87 70.67
318 Falls: Screening for Future Fall Risk 87.03 51.4
110 Preventative Care and Screening: Influenza Immunization 80.52 71.49
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 80.97 62.9
113 Colorectal Cancer Screening 73.63 53.21
112 Breast Cancer Screening 75.11 64.09
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.24 74.61
CAHPS-1 Getting Timely Care, Appointments, and Information 84.67 79.24
CAHPS-2 How Well Providers Communicate 93.56 92.77
CAHPS-3 Patient’s Rating of Provider 92.19 90.51
CAHPS-4 Access to Specialists 78.80 73.05
CAHPS-5 Health Promotion and Education 61.61 58.9
CAHPS-6 Shared Decision Making 60.89 60.28
CAHPS-7 Health Status and Functional Status 71.78 72.15
CAHPS-8 Care Coordination 85.66 84.05
CAHPS-9 Courteous and Helpful Office Staff 91.88 90.34
CAHPS-11 Stewardship of Patient Resources 24.71 26.76

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

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