ACO Name and Location
SHARED SAVINGS PROGRAM PUBLIC REPORTING
ACO Name and Location
Adventist Health Accountable Care, LLC 1505 Wilson Terrace PMT/Pavilion Building #215 Glendale, CA 91206
ACO Primary Contact
Regina Berman 818-630-8649 BermanRS@
Organizational Information
ACO Participants:
ACO Participants
A.M. Memar-Zia Md Inc. Abdol Memar-Zia
Adventist Health Physicians Network Alta California Medical Group Inc
Ashim Arora A Medical Corporation Daniel Ghiyam MD Inc
Dennis Patrick Lewis, MD Gregory Jenkins
Hi-Bridge Gastroenterology Medical Group Inc. James Hoff
James S Hoff MD A Professional Corporation Joseph Gayagoy MD A Professional Corporation
Ladan K Samadi MD Inc Lodi Memorial Hospital Association Inc
Mojgan Makhsoosi, M.D. Inc. Royal Dean
Royal E Dean Md Medical Corporation Sharmel Kasten DO PC
ACO Participant in Joint Venture N N N N N N N N N N N N N N N N N N
[ADVENTISTHEALTH:INTERNAL]
Simi Medical Group, Inc
N
Simicare Medical Group Inc
N
Steve Yi MD Inc
N
Valencia Internal Medical Group Inc
N
Vituity ? Primary Care Glendale PC
N
White Memorial Medical Group, Inc.
N
ACO Governing Body:
Member
Member
First Name
Last Name
Agvanyan
Edgar
Ayala
Raul
Burke
James
Freund Jahn
Khanoyan Strategos Nahapetian Beaman Takahashi
Edmund Andrew Sirvard Emmanuel
Arby John Patrick
Heard
Alexander
Member Title/Position
Member Member Member
Member Secretary Member Member Chairman Member Member
Member
Member's Voting Power (Expressed as a percentage)
Membership Type
ACO Participant Legal Business
Name, if applicable
1
ACO Participant Adventist Health
Representative
Physicians
Network
1
ACO Participant Adventist Health
Representative
Physicians
Network
1
ACO Participant Adventist Health
Representative
Physicians
ACO Medical
Network
Director
1
ACO Participant
AH Lodi
Representative
Memorial
Hospital
1
AH Network
Adventist Health
President
1
ACO Participant Vituity ? Primary
Representative Care Glendale
PC
1
ACO Participant Adventist Health
Representative
Physicians
Network
1
ACO Participant Adventist Health
Representative
Physicians
Network
1
Chief Financial Adventist Health
Officer
1
ACO Participant
Hi-Bridge
Representative Gastroenterology
Medical Group
Inc.
1
ACO Participant Adventist Health
Representative
Physicians
Network
[ADVENTISTHEALTH:INTERNAL]
Vogt
Nancy
Member
1
Medicare
N/A
Beneficiary
Representative
Key ACO Clinical and Administrative Leadership:
ACO Executive: Regina Berman Medical Director: James Burke, MD Compliance Officer: Claudia Kanne Quality Assurance/Improvement Officer: Patty Atkins
Associated Committees and Committee Leadership:
Committee Name
Utilization Management and Quality Assurance Committee
Committee Leader Name and Position James Burke, MD - Chair
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
? Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
? Second Agreement Period
o Performance Year 2022, $0
? First Agreement Period
o Performance Year 2021, $0 o Performance Year 2020, $3,832,257.22 o Performance Year 2019, $0 o Performance Year 2018, $0
Shared Savings Distribution:
? Second Agreement Period
o Performance Year 2022: $0 - Proportion invested in infrastructure: N/A - Proportion invested in redesigned care processes/resources: N/A - Proportion of distribution to ACO participants: N/A
[ADVENTISTHEALTH:INTERNAL]
? First Agreement Period
o Performance Year 2021: $0 - Proportion invested in infrastructure: N/A - Proportion invested in redesigned care processes/resources: N/A - Proportion of distribution to ACO participants: N/A
o Performance Year 2020: $3,832,257.22 - Proportion invested in infrastructure: $758,786.93 - Proportion invested in redesigned care processes/resources: $1,517,573.86 - Proportion of distribution to ACO participants: $1,532,902.89
o Performance Year 2019: $0 - Proportion invested in infrastructure: N/A - Proportion invested in redesigned care processes/resources: N/A - Proportion of distribution to ACO participants: N/A
o Performance Year 2018: $0 - 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
2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface
Measure # Measure Name
Collection Type
Quality ID# 318 Quality ID# 110 Quality ID# 226 Quality ID# 113 Quality ID# 112 Quality ID# 438 Quality ID# 370 Quality ID# 001 Quality ID# 134 Quality ID# 236 Measure# 479
Measure# 484
Falls: Screening for Future Fall Risk
Preventive Care and Screening: Influenza Immunization Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Colorectal Cancer Screening
Breast Cancer Screening
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Depression Remission at Twelve Months
Diabetes: Hemoglobin A1c (HbA1c) Poor Control Preventive Care and Screening: Screening for Depression and Follow-up Plan Controlling High Blood Pressure
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Clinician and Clinician Group Riskstandardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)
CMS Web Interface CMS Web Interface CMS Web Interface CMS Web Interface CMS Web Interface CMS Web Interface CMS Web Interface CMS Web Interface CMS Web Interface CMS Web Interface Administrative Claims
Administrative Claims
Rate
8.19 78.89 74.01 89.68 82.09 87.88 71.81 72.62 88.40 34.78 0.1536
31.17
ACO Mean
10.71 76.97 76.16 87.83 77.34 79.27 75.32 78.07 86.37 16.03 0.1510
30.97
[ADVENTISTHEALTH:INTERNAL]
CAHPS-1
CAHPS-2 CAHPS-3 CAHPS-4 CAHPS-5 CAHPS-6 CAHPS-7 CAHPS-8 CAHPS-9 CAHPS-11
Getting Timely Care, Appointments, and Information How Well Providers Communicate Patient's Rating of Provider Access to Specialists Health Promotion and Education Shared Decision Making Health Status and Functional Status Care Coordination Courteous and Helpful Office Staff Stewardship of Patient Resources
CAHPS for MIPS Survey
CAHPS for MIPS Survey CAHPS for MIPS Survey CAHPS for MIPS Survey CAHPS for MIPS Survey CAHPS for MIPS Survey CAHPS for MIPS Survey CAHPS for MIPS Survey CAHPS for MIPS Survey CAHPS for MIPS Survey
79.81
90.35 90.56 75.44 59.79 58.72 71.27 83.17 92.20 24.18
83.96
93.47 92.06 77.00 62.68 60.97 73.06 85.46 91.97 25.62
For previous years' Financial and Quality Performance Results, please visit: data.
Payment Rule Waivers
? Skilled Nursing Facility (SNF) 3-Day Rule Waiver: Not Applicable
? Waiver for Payment for Telehealth Services: Not Applicable
Fraud and Abuse Waivers
? ACO Pre-Participation Waiver: The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement. Not Applicable
? ACO Participation Waiver:
The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.
Not Applicable
[ADVENTISTHEALTH:INTERNAL]
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