Collom & Carney Clinic ACO, LLC

CMS Shared Savings Program ACO Reporting

	ACO Name and Location
	Collom & Carney Clinic ACO, LLC
	5002 Cowhorn Creek Rd.
	Texarkana, TX 75503-9766

	ACO Primary Contact
	Primary Contact Name Priscilla A. Newton Primary Contact Phone Number 903-614-3395 Primary Contact Email Address pnewton@collom-carney.com

	Organization Information
	ACO participants:
	ACO Participants ACO Participants in Joint Venture (Enter Y or N) Collom & Carney Clinic 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 Womack Joseph Physician/Chairman 14.28571429% ACO Participant Representative Collom & Carney Clinic Association Wong PuiSum Physician/Secretary 14.28571429% ACO Participant Representative Collom & Carney Clinic Association Smith Malcolm Physician/Voting Member 14.28571429% ACO Participant Representative Collom & Carney Clinic Association Tarpley Jon Physician/Voting Member 14.28571429% ACO Participant Representative Collom & Carney Clinic Association Hall Roger COO/Voting Member 14.28571429% ACO Participant Representative Collom & Carney Clinic Association Dwight Mary Manager/Voting Member 14.28571429% ACO Participant Representative Collom & Carney Clinic Association Durrant Fay Voting Member 14.28571429% Medicare Beneficiary Representative N/A
	Key ACO clinical and administrative leadership:
	Roger Hall ACO Executive Joseph Womack Medical Director Annette McGee Compliance Officer Belinda Huddleston Quality Assurance/Improvement Officer
	Associated committees and committee leadership:
	Committee Name Committee Leader Name and Position Quality and Clinical Informatics Committee Malcolm A. Smith, MD - Chair Finance Committee Gregory A. Richter, MD - Chair Utilization Review Committee Joseph S. Womack, MD - Chair
	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

	Shared Savings and Losses
	Amount of Shared Savings/Losses
	• N/A

	Shared Savings Distribution
	• N/A

	Quality Performance Results
	2016 Quality Performance Results:
	ACO# Measure Name Rate ACO Mean ACO-1 CAHPS: Getting Timely Care, Appointments, and Information N/A 80.51 ACO-2 CAHPS: How Well Your Providers Communicate N/A 93.01 ACO-3 CAHPS: Patients' Rating of Provider N/A 92.25 ACO-4 CAHPS: Access to Specialists N/A 83.49 ACO-5 CAHPS: Health Promotion and Education N/A 60.32 ACO-6 CAHPS: Shared Decision Making N/A 75.40 ACO-7 CAHPS: Health Status/Functional Status N/A 72.30 ACO-34 CAHPS: Stewardship of Patient Resources N/A 26.97 ACO-8 Risk-Standardized, All Condition Readmission N/A 14.70 ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) N/A 18.17 ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes N/A 53.20 ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure N/A 75.23 ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions N/A 59.81 ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) N/A 9.27 ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) N/A 14.53 ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements N/A 82.72 ACO-39 Documentation of Current Medications in the Medical Record N/A 87.54 ACO-13 Falls: Screening for Future Fall Risk N/A 64.04 ACO-14 Preventive Care and Screening: Influenza Immunization N/A 68.32 ACO-15 Pneumonia Vaccination Status for Older Adults N/A 69.21 ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up N/A 74.45 ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention N/A 90.98 ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan N/A 53.63 ACO-19 Colorectal Cancer Screening N/A 61.52 ACO-20 Breast Cancer Screening N/A 67.61 ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented N/A 76.79 ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease N/A 77.72 ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control N/A 18.24 ACO-41 Diabetes: Eye Exam N/A 44.94 ACO-28 Hypertension (HTN): Controlling High Blood Pressure N/A 70.69 ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic N/A 85.05 ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) N/A 88.67 ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) N/A 79.67

	Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

	Payment Rule Waivers
	• No, our ACO does not use the SNF 3-Day Rule Waiver.