ACO Name and Location

  • Renown Accountable Care
    1155 Mill Street
    Reno, NV 89502

 

ACO Primary Contact

 


 

Organizational Information

ACO Participants

  • Carson Valley Medical Center Rural Health Clinic
  • Community Care Services, LLC
  • Eastern Sierra Medical Group, LLC
  • Hometown Health Management Company
  • Renown Regional Medical Center
  • The Provider Network
  • Washoe Barton Medical Clinic

 

ACO participants in joint ventures between ACO professionals and hospitals

  • No participants are involved in a joint venture between ACO professionals and hospitals.

 

ACO Governing Body – All voting members

  • Stephen Bajo, MD,Chief Medical Officer and ACO Board Chair, Participant Provider, Hometown Health Management Co.
  • Stefan Humphries, MD, Chair, Clinical Integration Committee, Participant Provider, Community Care Services, LLC
  • Matthew Ladich, Chair, Finance Committee, Administrator, N/A
  • Thomas Brady, MD, Member, Community Member/Beneficiary, N/A
  • Kirk Gillis, Member, Vice President ACO, N/A
  • William Craig, MD, Member, Participant Provider, Hometown Health Management Co.
  • Evan Easley, MD, Member, Participant Provider, Washoe Barton Medical Clinic
  • Marie McCormick, MD, Member, Participant Provider, Hometown Health Management Co.
  • Quinn Pauly, MD, Member, Participant Provider, Hometown Health Management Co.
  • Tibor Toplenszky, MD, Member, Participant Provider, Hometown Health Management Co.
  • John Watson, MD, Member, Participant Provider, Hometown Health Management Co.
  • Henrik Slots, MD, Member, Participant Provider, Hometown Health Management Co.
  • Rahul Mediwala, MD, Member, Participant Provider, Community Care Services, LLC

 

Key ACO clinical and administrative leadership

  • Vice President, Renown Accountable Care: Kirk Gillis
  • Medical Director, Chief Medical Officer: Stephen Bajo, MD
  • Compliance Officer: Melinda Montoya, RN, JD

 

Associated committees and committee leadership:

  • Clinical Integration Committee: Stefan Humphries, MD, Chair
  • Finance Committee: Matthew Ladich, Chair
  • Quality and Compliance Committee: Paula Crenshaw, MD, Chair

 

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

  • ACO professionals in a group practice arrangement
  • A network of individual practices of ACO professionals
  • A Critical Access Hospital (CAH) billing under Method II
  • A Rural health center (RHC)

 


 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Performance Year 1: Not in operation
  • Performance Year 2014: No savings was earned

 

How Shared Savings Are Distributed

  • Proportion invested in infrastructure: 10%
  • Proportion invested in care process resources: 20%
  • Proportion distributed to ACO participants: 70%

 


 

Quality Performance Results

2012 Reporting Period2013 Reporting Period2014 Reporting Period
Measure numberPerformance measureACO performance
rate
Mean performance
rate for all ACOs
ACO performance
rate
Mean performance
rate for all ACOs
ACO performance
rate
Mean performance
rate for all ACOs
ACO #1Getting Timely Care, Appointments, and InformationNot in operationsNot in operationsNot in operationsNot in operations79.4880.13
ACO #2How Well Your Doctors CommunicateNot in operationsNot in operationsNot in operationsNot in operations90.5892.39
ACO #3Patients’ Rating of DoctorNot in operationsNot in operationsNot in operationsNot in operations89.1491.58
ACO #4Access to SpecialistsNot in operationsNot in operationsNot in operationsNot in operations80.9083.97
ACO #5Health Promotion and EducationNot in operationsNot in operationsNot in operationsNot in operations51.9258.29
ACO #6Shared Decision MakingNot in operationsNot in operationsNot in operationsNot in operations73.8947.6
ACO #7Health Status/Functional StatusNot in operationsNot in operationsNot in operationsNot in operations72.2971.1
ACO #8Risk Standardized, All Condition ReadmissionsNot in operationsNot in operationsNot in operationsNot in operations15.7415.15
ACO #9ASC Admissions: COPD or Asthma in Older AdultsNot in operationsNot in operationsNot in operationsNot in operations1.011.08
ACO #10ASC Admission: Heart FailureNot in operationsNot in operationsNot in operationsNot in operations0.941.19
ACO #11Percent of PCPs who Qualified for EHR Incentive PaymentNot in operationsNot in operationsNot in operationsNot in operations74.7076.71
ACO #12Medication ReconciliationNot in operationsNot in operationsNot in operationsNot in operations90.2982.61
ACO #13Falls: Screening for Fall RiskNot in operationsNot in operationsNot in operationsNot in operations51.0745.60
ACO #14Influenza ImmunizationNot in operationsNot in operationsNot in operationsNot in operations66.8857.51
ACO #15Pneumococcal VaccinationNot in operationsNot in operationsNot in operationsNot in operations46.3255.03
ACO #16Adult Weight Screening and Follow-upNot in operationsNot in operationsNot in operationsNot in operations38.666.75
ACO #17Tobacco Use Assessment and Cessation InterventionNot in operationsNot in operationsNot in operationsNot in operations85.6786.79
ACO #18Depression ScreeningNot in operationsNot in operationsNot in operationsNot in operations4.1639.27
ACO #19Colorectal Cancer ScreeningNot in operationsNot in operationsNot in operationsNot in operations49.9156.14
ACO #20Mammography ScreeningNot in operationsNot in operationsNot in operationsNot in operations80.9861.41
ACO #21Proportion of Adults who had blood pressure screened in past 2 yearsNot in operationsNot in operationsNot in operationsNot in operations99.3560.24
ACO #22Hemoglobin A1c Control (HbA1c)(<8 percent)Not in operationsNot in operationsNot in operationsNot in operations56.9126.30 = Composite
ACO #23Low Density Lipoprotein (LDL)(<100 mg/dL)Not in operationsNot in operationsNot in operationsNot in operations52.3
ACO #24Blood Pressure (BP) <140/90Not in operationsNot in operationsNot in operationsNot in operations73.95
ACO #25Tobacco Non UseNot in operationsNot in operationsNot in operationsNot in operations86.17
ACO #26Aspirin UseNot in operationsNot in operationsNot in operationsNot in operations95.97
ACO #27Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)Not in operationsNot in operationsNot in operationsNot in operations22.8520.35
ACO #28Percent of beneficiaries with hypertension whose BP <140/90Not in operationsNot in operationsNot in operationsNot in operations72.3068.02
ACO #29Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dlNot in operationsNot in operationsNot in operationsNot in operations55.1557.29
ACO #30Percent of beneficiaries with IVD who use Aspirin or other antithromboticNot in operationsNot in operationsNot in operationsNot in operations66.7480.79
ACO #31Beta-Blocker Therapy for LVSDNot in operationsNot in operationsNot in operationsNot in operations84.0282.714
ACO #32Drug Therapy for Cholesterol Lowering LDLNot in operationsNot in operationsNot in operationsNot in operations53.7769.36 = Composite
ACO #33ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSDNot in operationsNot in operationsNot in operationsNot in operations89.09

 

Note: ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease, PCP = primary care physician, EHR = electronic health record,
IVD = ischemic vascular disease, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD =
coronary artery disease.

For more information on how to interpret scores on the above quality performance measures, click here.