Shared Savings Program Public Reporting

ACO Name and Location

Utah Physicians Quality Care
6820 South 900 East
Suite 300
Midvale, Utah 84047


ACO Primary  Contact

  Michelle McOmber, MBA CAE
  (801) 747-3500 ext 221
  [email protected]

 

Organizational Information

ACO Participants      ACO Participant in Joint Venture

Advanced Pulmonary, Sleep Disorder and Internal Medicine, LLC No
Allergy Associates of Utah, PC No
Alturas Health, LLC No
Ashley Valley Family Practice No
Brian W Heaton, MD PC No
Brigham Medical Clinic, Inc No
Bryce Allred, MD No
Central Utah Radiology, Inc No
Corey D Anden, MD PC No
Country Hills Eye Center No
Darren B. Jenkins, DO PC No
David C Bradshaw MD PC No
Evolutionary Healthcare LLC No
Exodus Healthcare Network, PLLC No
Gut Whisperer, PC No
Hidden Valley Family Medicine, Inc No
Integrated Medical Services No
Intermountain Ear Nose and Throat Specialists, LLC No
Internal Medicine Clinic Of Tangipahoa, LLC No
Jeffrey G. Ogden, MD PC No
Karen Murray Radley, MD PC No
Matthew R. Call, DO No
Michelle E Murday, MD PC No
Michelle Pepper, MD PC No
Neurological Associates, LLC  No
Ray Andrew, MD PD No
Salt Lake Region Neurosurgery, LLC No
Seth R Lewis, MD PC No
Sharon Richens MD Eye Physician & Surgeon, PC No
Southwest Internal Medicine, PC No
Stanton McDonald, MD No
Steven E Call, MD No
Ungricht Parker Eye Associates, Inc No
Utah Cardiology, PC No
Utah Valley Radiology Associates, Inc No
Vernal Family Medicine, PLLC No

 

 

 

ACO Governing Body

Member
Last Name

Member
First Name

Member
Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Miller

Steven

ACO Chairman of the Board

14.3%

ACO Participant Representative

Intermountain Ear Nose and Throat

Allred

B. Dee

ACO Secretary/Treasurer

14.3%

ACO Participant Representative

Bryce D. Allred MD APC

McOmber

Michelle

ACO Executive

14.3%

Other; ACO Management Representative

Utah Medical Association

Zehnder

Brian

ACO Medical Director

14.3%

ACO Participant Representative

Exodus Healthcare Network PLLC

Ogden

Jeffrey

ACO Quality Assurance/Improvement Officer

14.3%

ACO Participant Representative

Jeffrey G Ogden MD PC - Orem Medical

Frame

Joshua

ACO Board Member

14.3%

ACO Participant Representative

Southwest Internal Medicine

Gabbitas

 Kathy

ACO Board Member

14.3%

Medicare Beneficiary Representative

N/A

 

Key ACO Clinical and Administrative Leadership

ACO Executive: Michelle McOmber
Medical Director: Brian Zehnder, MD
Compliance Officer: Amanda Waid
Quality Assurance/Improvement Officer: Jeffrey Ogden, MD

 

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Finance, Performance, Compliance

Dee Allred, MD, Chair

Clinical Performance

Brian Zehnder, MD, Chair

Quality Assurance

Jeffrey Ogden, MD, Chair

 

Types of ACO Participants, or Combinations of Participants, that Formed the ACO

  • Network of Individual Practices

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance  Year 2022, $0
    • Performance Year 2021, $ 3,107,077
  • First Agreement Period
    • Performance Year 2020, $ 2,308,656
    • Performance Year 2019, $ 1,718,120
    • Performance Year 2018, $ 2,204,568

Shared Savings Distribution

  • Second Agreement Period
    • PerformanceYear 2022
      • Proportion invested in infrastructure: NA%
      • Proportion invested in redesigned care processes/resources: NA%
      • Proportion of distribution to ACO participants: NA%
    • PerformanceYear 2021
      • Proportion invested in infrastructure: 12.5 %
      • Proportion invested in redesigned care processes/resources: 12.5 %
      • Proportion of distribution to ACO participants: 75 %
  • First Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 12.5 %
      • Proportion invested in redesigned care processes/resources: 12.5 %
      • Proportion of distribution to ACO participants: 75 %
    • Performance Year 2019
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 80 %
    • Performance Year 2018
      • Proportion invested in infrastructure: 10 %
      • Proportion invested in redesigned care processes/resources: 10 %
      • Proportion of distribution to ACO participants: 80 %

 

Quality Performance Results

2022 Quality Performance Results

Quality performance results are based on CMS Web Interface

 Measure # Measure Name Collection Type  Rate  ACO Mean 
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 87.06 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.5 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 92.76 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 76.26 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 65.82 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 61.58 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 71.47 73.06
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 27.91 25.62
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.92 91.97
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.64 85.46
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1374 0.151
484 Clinician and Clinician Group Risk- standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 26.84 30.97
318 Falls: Screening for Future Fall Risk CMS Web Interface 90.55 87.83
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 73.1 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 76.19 79.27
134 Preventative Care and Screening for Depression and Follow-up Plan CMS Web Interface 75.66 76.97
113 Colorectal Cancer Screening CMS Web Interface 73.74 75.32
112 Breast Cancer Screening CMS Web Interface 78.31 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 83.64 86.37
370 Depression Remission at Twelve Months CMS Web Interface 20 16.03
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 8.68 10.71
236 Controlling High Blood Pressure CMS Web Interface 70.11 76.16

 

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov



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