Coordinated Care

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

ACO Name and Location

6560 Fannin Street
Scurlock Tower, Suite 1408
Houston, TX 77030
844.349.4271

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
Khan and Mujeeb PLLC	N
Highlands Medical Associates, P.A	N
TMH Physician Associates, PLLC	N
Shadow Creek Family Physicians PA	N
Katy Internists	N
Hema Patel MD, PA	N
Ronald R. Galfione, MD, PA	N
Saba Asad Ansari, P.A.	N
TMH Physician Organization	N
Center for Family & Preventive Medicine, PA	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
Mohammad A. Haque, M.D., P.A.	N
Progressive Medical Clinic LLP	N
Jacinto Medical Group, P.A.	N
Priti Jadav	N
Saira Hirani	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

ACO governing body:

Member Name	Member Title / Affiliation	Member Voting Power	Membership Type
HMCC Chair
Julia Andrieni, MD*	Chair, President & CEO - HMCC Vice President, Population Health & Primary Care - Houston Methodist President & CEO - HMPAQ	Voting	President
HMCC Board of Directors
Brian Aquino, MD*	Clear Creek Clinic at St. John - HMPAQ	Voting	ACO Participant
Chris Robben, MD*	Medical Director - HMCC Medical Director - HMPCG Chief Quality & Medical Informatics Officer - HMSPG	Voting	ACO Participant
Glenn Davis, MD*	Cypress Physicians Association	Voting	ACO Participant
Greg Terry, MD*	Baytown Practice, HMPCG	Voting	ACO Participant
Joshua Septimus, MD*	Bellaire Practice, HMPCG	Voting	ACO Participant
Mahendra Jain, MD*	Pearland Practice, HMPCG	Voting	ACO Participant
Maya Patel, MD*	Preventive Medicine Institute	Voting	ACO Participant
Natalie Dryden, MD*	Scurlock 11th Floor Practice, HMPCG	Voting	ACO Participant
Ricardo Pardo, MD*	Jacinto Medical Group, HMPAQ	Voting	ACO Participant
Seva Papageorge, MD*	Sugar Land Practice, HMPCG	Voting	ACO Participant
Tiffany Burns, MD*	Willowbrook 3rd Floor Practice, HMPCG	Voting	ACO Participant
Timothy Irvine, MD *	IKP Family Medicine	Voting	ACO Participant
Tom-Thuan Nguyen, MD*	St. Michael Medical Clinic at Willowbrook, HMPAQ	Voting	ACO Participant
Connie Dyer*	Medicare Beneficiary	Voting	Medicare Beneficiary Representative
Cathy Meents	Director, Corporate Business Practices - Houston Methodist	Non-Voting	Board Member
Jeff Carr, MBA, MHA	Secretary / Treasurer - HMCC Vice President, Finance/Admin/Managed Care	Non-Voting	Secretary
Kathryn Agarwal, MD	Medical Director, HMCC SNF Program	Non-Voting	Board Member
Lisa Shock, MHS, PA-C*	Vice President, Clincal Strategy & Operations - Value Based Services - Evolent Health	Voting	Board Member
Mark Easterly, JD	Vice President, Legal Services - Houston Methodist	Non-Voting	Board Member
Mick Cantu, JD	Executive Vice President - - Houston Methodist Chief Legal Officer - Houston Methodist Strategic and Business Development Officer - Houston Methodist	Non-Voting	Executive Vice President
Robert Phillips, MD, PhD	Executive Vice President & Chief Medical Officer, Houston Methodist President and CEO, Houston Methodist Physician Organization	Non-Voting	Board Member
Ryane Jackson*	Director, Global Education & Training	Voting	Community Stakeholder Representative
Stephen Spielman, MBA, MHA	Senior Vice President and COO - HMSPG President - HMPCG	Non-Voting	Board Member
Terry McLendon, MD	System Medical Director, Clinical Documentation - Houston Methodist Business Practices Officer - HMSPG	Non-Voting	Board Member
Robert E. Jackson, MD	Medical Director, HMPAQ	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. Kimberly Sims, Chair
Value-Based Steering 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

For general questions or additional information about ACOs, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227), TTY users should call 1-877-486-2048.

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 through our CVS ACO collaboration. This performance-based collaboration, which includes joint accountability, will focus on helping improve our clinical quality measures through targeted clinical messaging where CVS ACO will deliver information to encourage patients to schedule breast and colon cancer screenings. The program was approved by the HMCC Governance Board in March 2018.
Houston Methodist Primary Care Group collaborates with Next Level Urgent Care for the provision of after-hours care for its patients in an effort to allow patients greater access to care at night and on the weekends without over-utilizing emergency departments when their primary care physician offices are closed.

*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.