Coordinated Care

Welcome to Houston Methodist Coordinated Care (HMCC), an Accountable Care Organization

ACO Name and Location

Houston Methodist Coordinated Care
7550 Greenbriar Drive
Suite 5-330
Houston, TX 77030

 

ACO Primary Contact

 

Primary Contact Name

Dr. Julia D. Andrieni

Primary Contact Phone Number

346.356.1553

Primary Contact Email Address

jdandrieni@houstonmethodist.org

 

Organizational Information

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Cypress Physicians Association N
Fort Bend Primary Care, P.A. N
N. Christine Le MD PA N
IKP Family Medicine PA N
Northern Pines Health Partners PA N
Khan And Mujeeb PLLC N
Highlands Medical Associates, P.A N
TMH Physician Associates, PLLC N
Katy Internists N
Priti Jadav N
Ronald R. Galfione, MD, PA N
Saba Asad Ansari P.A. N
TMH Physician Organization N
Saira Hirani N
Center For Family & Preventive Medicine, PA N
Family Health Consultants PA N
Parul R. Shah DO PA N
Amir Salim MD PA N
Mohammad A Haque, M.D., P.A. N
Progressive Medical Clinic LLP N
Jacinto Medical Group, P.A. N
St. Michael Medical Clinic, PA N
Sweetwater Medical Associates, PLLC N
Preventive Medicine Institute, PA N
Rakesh Patel M.D. P. A. N
Hanh Truong, MD PA N
Woodlands Family Medicine Professional Limited Liability Company N
Bhagwat Patel, M.D., P.A. 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
Andrieni, MD Julia Chair, President & CEO - HMCC 100% President
Vice President, Population Health & Primary Care - Houston Methodist
Robben, MD Chris Medical Director – HMCC Employed Physicians 100% ACO Participant and Management TMH Physician Associates, PLLC
Jackson, MD Robert Medical Director – HMCC Private Physicians 0% ACO Management
Agarwal, MD Kathryn Medical Director – HMCC Post-Acute 0% ACO Management
Allmon, MD Brent ACO Board Member 100% ACO Participant Woodlands Family & Community Medicine Professional Limited Liability Company
Lee, MD Nicoline ACO Board Member 100% ACO Participant TMH Physician Associates, PLLC
Terry, MD Gregory ACO Board Member 100% ACO Participant TMH Physician Associates, PLLC
Septimus, MD Joshua ACO Board Member 100% ACO Participant TMH Physician Associates, PLLC
Sims, MD Kimberly ACO Board Member 100% ACO Participant TMH Physician Associates, PLLC
Patel, MD Maya ACO Board Member 100% ACO Participant Preventive Medicine Institute
Dryden, MD Natalie ACO Board Member 100% ACO Participant TMH Physician Associates, PLLC
Johnston, MD Robert ACO Board Member 100% ACO Participant Jacinto Medical Group, PA
Roach, MD Robert ACO Board Member 100% ACO Participant Center For Family & Preventive Medicine, PA
Papageorge, MD Seva ACO Board Member 100% ACO Participant TMH Physician Associates, PLLC
Miller, MD Susan ACO Board Member 100% ACO Participant TMH Physician Associates, PLLC
Burns, MD Tiffany ACO Board Member 100% ACO Participant TMH Physician Associates, PLLC
Irvine, MD Timothy ACO Board Member 100% ACO Participant IKP Family Medicine PA
Nguyen, MD Tom-Thuan ACO Board Member 100% ACO Participant St Michael Medical Clinic, PA
Dyer Connie ACO Board Member 100% Medicare Beneficiary
Jackson Ryane ACO Board Member 100% Community Stakeholder Representative
Meents Cathy Director, Corporate Business Practices - Houston Methodist 0% ACO Management
Paydenkar Chetan Sr. Director, Transformation - Evolent Health 0% ACO Management
Carr, MBA, MHA Jeff Treasurer - HMCC 0% ACO Management
Clark, PhD Dale Secretary – HMCC 0% ACO Management
Burns Kevin HMH Executive VP and Chief Financial Officer 0% ACO Management
Easterly, JD Mark Vice President, Legal Services - Houston Methodist 0% ACO Management
Phillips, MD Robert Executive Vice President & Chief Medical Officer, Houston Methodist 0% ACO Management
President and CEO, Houston Methodist Physician Organization
Jiwani Siraj CEO - Jacinto Medical Group 0% ACO Management Jacinto Medical Group, PA
Spielman, MBA, MHA Stephen Senior Vice President and COO - HMSPG 0% ACO Management
President - HMPCG
McLendon, MD Terry System Medical Director, Clinical Documentation - Houston Methodist 0% ACO Management
Business Practices Officer - HMSPG
Cantu, JD Mick Executive Vice President - Houston Methodist 0% ACO Management
Chief Legal Officer - Houston Methodist Strategic and Business Development Officer - Houston Methodist

 

Key ACO clinical and administrative leadership:

Julia Andrieni, MD President & CEO
Jeff Carr, MBA, MHA Treasurer
Dale Clark, PhD Secretary
Megan Harkey, MHA Director – Operations & Finance
Zachary Menn, MD, MHA, MBA Director – MSSP Clinical Programs
Norman Lancit, MSW, MBA Director – Transitions in Care
Chris Robben, MD Medical Director – HMCC Employed Physicians
Robert Jackson, MD Medical Director – HMCC Private Physicians
Kathryn Agarwal, MD Medical Director – HMCC Post-Acute
Catherine Meents Compliance Officer
Mark Easterly, JD Legal Counsel

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Physician Advisory Committee Kimberly Sims, MD, Chair
Quality Improvement Committee Chris Robben, MD, Chair
Finance & Operations Committee Jeff Carr, MBA, MHA, 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
 
Shared Savings and Losses 
Amount of Shared Savings/Losses 
  • First Agreement Period
    • Performance Year 2018, $1,280,660
    • Performance Year 2017, $1,258,180
 
Shared Savings Distribution
  • • First Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 12%
      • Proportion of distribution to ACO participants: 68%
    • o Performance Year 2017
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 17%
      • Proportion of distribution to ACO participants: 53%

Quality Performance Results

2018 Quality Performance Results:

 

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 84.43 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.57 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.75 92.45
ACO-4 CAHPS: Access to Specialists 81.49 81.5
ACO-5 CAHPS: Health Promotion and Education 60.47 59.26
ACO-6 CAHPS: Shared Decision Making 61.44 61.94
ACO-7 CAHPS: Health Status/Functional Status 73.53 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 29.75 26.26
ACO-8 Risk Standardized, All Condition Readmission 15 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.42 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 35.3 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 72.99 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 58.4 59
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.81 1.98
ACO-11 Use of Certified EHR Technology 99.71 98.2
ACO-12 Medication Reconciliation Post-Discharge 98.26 85.91
ACO-13 Falls: Screening for Future Fall Risk 90.82 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 43.75 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 77.93 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 85.83 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 83.08 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.92 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 83.96 66.74
ACO-19 Colorectal Cancer Screening 57.03 68.27
ACO-20 Breast Cancer Screening 69.31 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.85 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 10.39 15.51
ACO-41 Diabetes: Eye Exam 63.03 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 68.31 73.1
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 95.38 88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

  • For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
  • For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data 

    Note: In the Quality Performance Results file(s) above, search for “Houston Methodist Coordinated Care” to view the quality performance results. This ACO can also be found by using the ACO ID A3473 in the public use files on data.cms.gov.

 

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.
 
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