Coordinated Care

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

ACO Name and Location

Houston Methodist Coordinated Care 6565 FanninStreet

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)

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

TMH Physician Associates, PLLC

N

Katy Internists

N

Hema Patel MD, PA

N

Priti Jadav

N

Saba Asad Ansari, P.A.

N

TMH Physician Organization

N

Family Health Consultants, PA

N

Clear Creek Clinic, P.A.

N

Parul R. Shah DO PA

N

Amir Salim MD PA

N

James J Bernick Md, Pa

N

Jacinto Medical Group, P.A.

N

Saira Hirani

Saira Hirani N

N

St. Michael Medical Clinic, PA

N

Preventive Medicine Institute, PA

N

Rakesh Patel M.D. P. A.

N

Hanh Truong MD PA

N

 

 

ACO governing body:

 

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Andrieni, MD

Julia

President & CEO, Houston Methodist Physicians' Alliance for Quality

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

Cantu, JD

Mick

Non‐Voting

Executive Vice President

Carr, MBA, MHA

Jeff

Non‐Voting

Secretary

Clark, PhD

Dale

Non‐Voting

Board Member

Easterly, JD

Mark

Non-Voting

Board Member

Jiwani

Siraj

Non‐Voting

Board Member

Jacinto Medical Group, PA

Menn, MD

Zachary

Non‐Voting

Board Member

Phillips, MD

Robert

Non‐Voting

Board Member

Spielman, MBA, MHA

Stephen

Non-Voting

Board Member

 

Key ACO clinical and administrative leadership:

 

Julia Andrieni, MD

ACO Executive

Chris Robben, MD

Medical Director

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

 

Management Committee

Dr. Julia Andrieni, President

Jeff Carr, MBA, MHA, Secretary/Treasurer

Dr. Chris Robben, Medical Director

 

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 SharedSavings/Losses

  • First Agreement Period
  • Performance Year 2017, $1,258,180

 

Shared SavingsDistribution

  • First Agreement Period
    • 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

2017 Quality Performance Results:

 

ACO#

 

Measure Name

 

Rate

ACO

Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

76.16

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.45

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.62

92.31

ACO-4

CAHPS: Access to Specialists

86.16

83.32

ACO-5

CAHPS: Health Promotion and Education

59.03

62.30

ACO-6

CAHPS: Shared Decision Making

74.37

75.85

ACO-7

CAHPS: Health Status/Functional Status

74.07

73.05

ACO- 34

 

CAHPS: Stewardship of Patient Resources

 

28.22

 

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.35

15.01

ACO- 35

 

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

 

19.42

 

18.46

ACO- 36

 

All-Cause Unplanned Admissions for Patients with Diabetes

 

55.34

 

53.95

ACO- 37

 

All-Cause Unplanned Admissions for Patients with Heart Failure

 

77.18

 

79.16

ACO- 38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

 

62.33

 

61.74

ACO- 43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

 

1.88

 

1.93

ACO- 11

 

Use of Certified EHR Technology

 

100.00

 

98.48

ACO- 12

 

Medication Reconciliation

 

94.34

 

75.32

ACO- 13

 

 

Falls: Screening for Future Fall Risk

 

 

53.12

 

74.38

ACO- 44

 

Imaging Studies for Low Back Pain

 

50.00

 

67.32

ACO- 14

 

Preventive Care and Screening: Influenza Immunization

 

68.75

 

72.52

ACO- 15

 

Pneumonia Vaccination Status for Older Adults

 

71.98

 

72.92

ACO- 16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

 

44.40

 

70.69

ACO- 17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

 

96.10

 

90.48

ACO- 18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

 

38.84

 

61.98

ACO- 19

 

Colorectal Cancer Screening

 

43.63

 

64.58

ACO- 20

 

Breast Cancer Screening

 

63.48

 

70.05

ACO- 42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

 

76.88

 

79.89

ACO- 27

 

Diabetes Mellitus: Hemoglobin A1c Poor Control

 

16.93

 

16.74

ACO- 41

 

Diabetes: Eye Exam

 

37.30

 

50.37

ACO- 28

 

Hypertension (HTN): Controlling High Blood Pressure

 

58.79

 

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

83.75

86.86

Please note, the ACO-40 Depression Remissionat 12 months quality measureis not included in public reporting due to low samples.

·          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 “HoustonMethodist Coordinated Care” to view the quality performance results. This ACO can also be found by using the ACO ID A72596 in the public use files on data.cms.gov.

 

Payment Rule Waivers

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