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 Period 2013 Reporting Period 2014 Reporting Period
Measure number Performance measure ACO 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 #1 Getting Timely Care, Appointments, and Information Not in operations Not in operations Not in operations Not in operations 79.48 80.13
ACO #2 How Well Your Doctors Communicate Not in operations Not in operations Not in operations Not in operations 90.58 92.39
ACO #3 Patients’ Rating of Doctor Not in operations Not in operations Not in operations Not in operations 89.14 91.58
ACO #4 Access to Specialists Not in operations Not in operations Not in operations Not in operations 80.90 83.97
ACO #5 Health Promotion and Education Not in operations Not in operations Not in operations Not in operations 51.92 58.29
ACO #6 Shared Decision Making Not in operations Not in operations Not in operations Not in operations 73.89 47.6
ACO #7 Health Status/Functional Status Not in operations Not in operations Not in operations Not in operations 72.29 71.1
ACO #8 Risk Standardized, All Condition Readmissions Not in operations Not in operations Not in operations Not in operations 15.74 15.15
ACO #9 ASC Admissions: COPD or Asthma in Older Adults Not in operations Not in operations Not in operations Not in operations 1.01 1.08
ACO #10 ASC Admission: Heart Failure Not in operations Not in operations Not in operations Not in operations 0.94 1.19
ACO #11 Percent of PCPs who Qualified for EHR Incentive Payment Not in operations Not in operations Not in operations Not in operations 74.70 76.71
ACO #12 Medication Reconciliation Not in operations Not in operations Not in operations Not in operations 90.29 82.61
ACO #13 Falls: Screening for Fall Risk Not in operations Not in operations Not in operations Not in operations 51.07 45.60
ACO #14 Influenza Immunization Not in operations Not in operations Not in operations Not in operations 66.88 57.51
ACO #15 Pneumococcal Vaccination Not in operations Not in operations Not in operations Not in operations 46.32 55.03
ACO #16 Adult Weight Screening and Follow-up Not in operations Not in operations Not in operations Not in operations 38.6 66.75
ACO #17 Tobacco Use Assessment and Cessation Intervention Not in operations Not in operations Not in operations Not in operations 85.67 86.79
ACO #18 Depression Screening Not in operations Not in operations Not in operations Not in operations 4.16 39.27
ACO #19 Colorectal Cancer Screening Not in operations Not in operations Not in operations Not in operations 49.91 56.14
ACO #20 Mammography Screening Not in operations Not in operations Not in operations Not in operations 80.98 61.41
ACO #21 Proportion of Adults who had blood pressure screened in past 2 years Not in operations Not in operations Not in operations Not in operations 99.35 60.24
ACO #22 Hemoglobin A1c Control (HbA1c)(<8 percent) Not in operations Not in operations Not in operations Not in operations 56.91 26.30 = Composite
ACO #23 Low Density Lipoprotein (LDL)(<100 mg/dL) Not in operations Not in operations Not in operations Not in operations 52.3
ACO #24 Blood Pressure (BP) <140/90 Not in operations Not in operations Not in operations Not in operations 73.95
ACO #25 Tobacco Non Use Not in operations Not in operations Not in operations Not in operations 86.17
ACO #26 Aspirin Use Not in operations Not in operations Not in operations Not in operations 95.97
ACO #27 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) Not in operations Not in operations Not in operations Not in operations 22.85 20.35
ACO #28 Percent of beneficiaries with hypertension whose BP <140/90 Not in operations Not in operations Not in operations Not in operations 72.30 68.02
ACO #29 Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl Not in operations Not in operations Not in operations Not in operations 55.15 57.29
ACO #30 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic Not in operations Not in operations Not in operations Not in operations 66.74 80.79
ACO #31 Beta-Blocker Therapy for LVSD Not in operations Not in operations Not in operations Not in operations 84.02 82.714
ACO #32 Drug Therapy for Cholesterol Lowering LDL Not in operations Not in operations Not in operations Not in operations 53.77 69.36 = Composite
ACO #33 ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD Not in operations Not in operations Not in operations Not in operations 89.09

 

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.