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Public Reporting

ACO Name and Location

St. Rose Quality Care Network, LLC
Previous Names: N/A
3001 St. Rose Parkway
Henderson, NV 89052

ACO Primary Contact

Primary Contact Name Margie Roper
Primary Contact Phone Number (702) 616-5719
Primary Contact Email Address Margie.Roper@DignityHealth.org

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Ensign Family Medicine Llc N
Scott Selco, Professional Corporation N
Dara J. Welborn, M.D., P.C. N
S and S Kim Group, PC N
Brian E. Lee, M.D., LTD N
Sports Medicine Rehabilitation Associates N
Dignity Health Medical Group Nevada, LLC N
Armour, Christensen, Simon, Chtd N
Siena Hlls Primary Care, Llc N
Kochy M. Y. Tang, D.O., A Professional Corporation N
Rita B. Chuang MD LLC N

 

ACO governing body:

Member Member’s Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Simon Irwin Chair 1 ACO Participant Representative Armour, Christensen, Simon, Chartered
Welborn Dara Payer Committee Chair 1 ACO Participant Representative Dara J. Welborn, M.D., P.C.
Selco Scott Finance Committee Chair 1 ACO Participant Representative Scott Selco, Professional Corporation
Flaviano Shane Vice-Chair 1 ACO Participant Representative Sports Medicine Rehabilitation Associates, A Flaviano Professional Corporation
Harouni Rama 1 ACO Participant Representative Dignity Health Medical Group Nevada, LLC
Bower Joel 1 Medicare Beneficiary Representative N/A
Venkat Raji 1 ACO Participant Representative Dignity Health Medical Group Nevada, LLC
Lee Brian 1 ACO Participant Representative Brian E. Lee, M.D., LTD
Salcedo Anna Secretary 1 ACO Participant Representative Dara J. Welborn, M.D., P.C.
Panesar Harpreet 1 ACO Participant Representative Dignity Health Medical Group Nevada, LLC
Ammar Tarek 1 Community Stakeholder Representative N/A

 

Key ACO clinical and administrative leadership:

Margaret Roper ACO Executive
Teresa Hong Medical Director
Christi Knox Compliance Officer
Teresa Hong Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Payer Committee Dr. Dara Welborn, Chair
Finance Committee Dr. Scott Selco, Chair
Quality Committee Dr. Shane Casiano Flaviano, Chair
Performance Evaluation Committee Dr. Anna Salcedo, Chair

 

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

  • ACO professionals in a group practice arrangement
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2017, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 69.84 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 91.30 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 91.04 92.31
ACO-4 CAHPS: Access to Specialists 79.30 83.32
ACO-5 CAHPS: Health Promotion and Education 58.03 62.30
ACO-6 CAHPS: Shared Decision Making 77.49 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.51 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 26.15 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.34 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.87 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 46.87 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 71.13 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 53.64 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.69 1.93
ACO-11 Use of Certified EHR Technology 92.75 98.48
ACO-12 Medication Reconciliation 63.11 75.32
ACO-13 Falls: Screening for Future Fall Risk 75.17 74.38
ACO-44 Imaging Studies for Low Back Pain 66.67 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 61.46 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 51.90 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 64.34 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.22 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 33.27 61.98
ACO-19 Colorectal Cancer Screening 56.73 64.58
ACO-20 Breast Cancer Screening 65.64 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.52 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 20.11 16.74
ACO-41 Diabetes: Eye Exam 34.92 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 65.32 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 88.29 86.86

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

Note: In the Quality Performance Results file(s) above, search for “St. Rose Quality Care Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A91221 in the public use files on data.cms.gov.

Payment Rule Waivers

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