Coordinated Care

ACO Name and Location
Houston Methodist Coordinated Care
6565 Fannin Street
Suite D200
Houston, Texas 77030 ACO Primary Contact

Primary Contact Name	Dr. Julia D. Andrieni
Primary Contact Phone Number	713.441.7638
Primary Contact Email Address	jdandrieni@houstonmethodist.org

Organizational Information

 

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Amir Salim MD PA	N
Clear Creek Clinic, P.A.	N
Cypress Physicians Association	N
Family Health Consultants PA	N
Fort Bend Primary Care, P.A.	N
Hanh Truong MD PA	N
Hema Patel MD, Pa	N
IKP Family Medicine PA	N
Jacinto Medical Group, P.A.	N
James J Bernick MD, Pa	N
Katy Internists	N
N. Christine Le MD PA	N
Northern Pines Health Partners PA	N
Parul R. Shah DO PA	N
Preventive Medicine Institute, PA	N
Priti Jadav	N
Rakesh Patel M.D. P. A.	N
Saba Asad Ansari P.A.	N
Saira Hirani	N
St. Michael Medical Clinic, PA	N
TMH Physician Associates, PLLC	N

  ACO governing body:

Last Name	First Name	Title/Position	Board Member's Voting Power	Board Member Type	ACO Participant TIN Legal Business Name/DBA, if Applicable
Andrieni, MD	Julia	President & CEO, Houston Methodist Coordinated Care	Voting	President
Aquino, MD	Brian		Voting	ACO Participant	Clear Creek Clinic, PA
Bishop, MD	Rachel		Voting	ACO Participant	TMH Physician Associates, PLLC
Burns, MD	Tiffany		Voting	ACO Participant	TMH Physician Associates, PLLC
Dryden, MD	Natalie		Voting	ACO Participant	TMH Physician Associates, PLLC
Irvine, MD	Timothy		Voting	ACO Participant	IKP Family Medicine
Jain, MD	Mahendra		Voting	ACO Participant	TMH Physician Associates, PLLC
Papageorge, MD	Seva		Voting	ACO Participant	TMH Physician Associates, PLLC
Patel, MD	Maya		Voting	ACO Participant	Preventive Medicine Institute
Nguyen, MD	Tom‐Thuan		Voting	ACO Participant	St. Michael Medical Clinic, PA
Robben, MD	Chris		Voting	ACO Participant	TMH Physician Associates, PLLC
Terry, MD	Greg		Voting	ACO Participant	TMH Physician Associates, PLLC
Pardo, MD	Rafael		Voting	ACO Participant	Jacinto Medical Group, PA
Baucum	Carl		Voting	Medicare Beneficiary Representative
Finder, RN, MSN	Janice		Voting	Community Stakeholder Representative
Orth, RN, MBA	Heather		Voting	Community Stakeholder Representative

    Key ACO clinical and administrative leadership:

Julia Andrieni, MD	President and CEO
Chris Robben, MD	Medical Director, Primary Care
Kathryn Agarwal, MD	Medical Director, Post-Acute Care
Michael Udwin, MD	Medical Director, Specialty Care
Robert Jackson, MD	Medical Director, Readmissions
Chetan Paydenkar	General Manager
Jeff Carr, MBA, MHA	Treasurer
Megan Harkey, MHA	Secretary
Catherine Meents	Compliance Officer
Chris Robben, MD	Quality Assurance/Improvement Officer

  Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Quality Improvement Committee	Dr. Chris Robben, Chair
Finance & Operations Committee	Jeff Carr, MBA, MHA, Chair
Physician Advisory Council	Dr. Mahendra Jain, Chair

  Types of ACO participants, or combinations of participants, that formed the ACO:

• ACO professionals in a group practice arrangement
• Networks of individual practices of ACO professionals
• Hospital employing ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

• N/A

Shared Savings Distribution

• N/A

 

Quality Performance Results

2016 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	N/A	80.51
ACO-2	CAHPS: How Well Your Providers Communicate	N/A	93.01
ACO-3	CAHPS: Patients' Rating of Provider	N/A	92.25
ACO-4	CAHPS: Access to Specialists	N/A	83.49
ACO-5	CAHPS: Health Promotion and Education	N/A	60.32
ACO-6	CAHPS: Shared Decision Making	N/A	75.40
ACO-7	CAHPS: Health Status/Functional Status	N/A	72.30
ACO-34	CAHPS: Stewardship of Patient Resources	N/A	26.97
ACO-8	Risk-Standardized, All Condition Readmission	N/A	14.70
ACO-35	Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)	N/A	18.17
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	N/A	53.20
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	N/A	75.23
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	N/A	59.81
ACO-9	Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)	N/A	9.27
ACO-10	Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )	N/A	14.53
ACO-11	Percent of PCPs who Successfully Meet Meaningful Use Requirements	N/A	82.72
ACO-39	Documentation of Current Medications in the Medical Record	N/A	87.54
ACO-13	Falls: Screening for Future Fall Risk	N/A	64.04
ACO-14	Preventive Care and Screening: Influenza Immunization	N/A	68.32
ACO-15	Pneumonia Vaccination Status for Older Adults	N/A	69.21
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	N/A	74.45
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	N/A	90.98
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	N/A	53.63
ACO-19	Colorectal Cancer Screening	N/A	61.52
ACO-20	Breast Cancer Screening	N/A	67.61
ACO-21	Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented	N/A	76.79
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	N/A	77.72
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	N/A	18.24
ACO-41	Diabetes: Eye Exam	N/A	44.94
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	N/A	70.69
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	N/A	85.05
ACO-31	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	N/A	88.67
ACO-33	Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)	N/A	79.67

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

Payment Rule Waivers

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