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	Member's Voting Power	Membership Type
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
Dyer	Connie		Voting	Medicare Beneficiary Representative
Jackson	Ryane		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

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

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.

HMCC PROGRAM COLLABORATIONS

Houston Methodist Coordinated Care (HMCC) strives to improve health outcomes for the patients we manage, provide an enhanced patient care experience, and reduce cost. We are pleased to announce a new performance-based collaboration with CVS Pharmacy, which includes joint accountability in these important areas. The collaboration will focus on helping improve our clinical quality measures through targeted clinical messaging where CVS Pharmacy will deliver information about pneumonia and influenza immunizations to help encourage patients to get their vaccinations and Multi-Dose Packaging where patients taking 6 or more eligible maintenance medications can have their medications filled at a CVS Pharmacy and organized into convenient individual packages labeled by date, day of week and time of day to help simplify complex drug regimens and make it easier for patients to stay on therapy. The program was approved in March 2018.

*Providers must honor their patients’ right to select a pharmacy of their choosing, and the collaboration is not intended to be construed to induce, encourage or otherwise require the referral of patients to CVS Pharmacy.