ACO Information

ACO Name and Location

Utah Physicians Quality Care
Previous Names: N/A
310 East 4500 South
Suite 500
Salt Lake City, Utah 84107

ACO Primary Contact

Primary Contact Name

Michelle McOmber

Primary Contact Phone Number

801-747-3500 ext 221

Primary Contact Email Address

michelle@utahmed.org

 

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

Advanced Pulmonary, Sleep Disorder and Internal Medicine LLC

N

Allergy Associates of Utah, P.C.

N

Alpine Spine Sports and Rehabilitation LLC

N

Ashley Valley Family Practice

N

Barclay Bigelow

N

Barclay F Bigelow Md Pc

N

Basin Medical Clinic LLC

N

Blake Welling MD PC

N

Brian Heaton

N

Brian W Heaton MD PC

N

Bryce Allred

N

Bryce Allred

N

BRYSON S. SMITH, MD, PC

N

Canyon View Medical Group

N

Cataract & Lasik Center of Utah PC

N

Central Utah Radiology Inc

N

Corey D Anden MD PC

N

Country Hills Eye Center

N

Darren B. Jenkins, D.O., P.C.

N

Darren Jenkins

N

David Bradshaw

N

David C Bradshaw MD PC

N

Dennis D Winters MD PC

N

Douglas C. Walker D.O., P.C.

N

Douglas Walker

N

Evolutionary Healthcare LLC

N

Exodus Healthcare Network PLLC

N

Francis X Yubero MD LC

N

Glori Allen

N

Glori Allen MD LLC

N

Gut Whisperer PC

N

Hidden Valley Family Medicine Inc

N

Intermountain Ear Nose and Throat Specialists LLC

N

Intermountain Senior Care Services, LLC

N

Intermountain Skin Cancer & Esthetics Center Pc

N

Jeffrey Ogden

N

John A Dana MD PC

N

Joseph Jensen

N

Joseph W Jensen, Do, Pc

N

Kenneth S Yonemura MD PS

N

Kenneth Yonemura

N

Kimberly Beck

N

Kimberly E Beck Md Pc

N

Mark Frazier Medical LLC

N

Matthew Call

N

Matthew R. Call Do

N

Michelle E Murday Md Pc

N

Michelle Murday

N

Neurological Associates LLC

N

Personal Care Emergency Physicians PC

N

Peter V Wilson, Md, Pllc

N

Peter Wilson

N

Premier Emergency Medicine LLC

N

Ray Andrew

N

Ray Andrew Md Pc

N

Richard F Labasky Md Pc

N

Richard Labasky

N

Richard Nay

N

Rocky Mountain Dermatology Inc.

N

Rocky Mountain emergency Specialists LLC

N

Ronald F Lopez Md Llc

N

Ronald Lopez

N

Salt Lake Region Neurosurgery, LLC

N

Seth Lewis

N

Seth R Lewis Md Pc

N

Sharon Richens MD Eye Physician & Surgeon PC

N

Southwest Internal Medicine, PC

N

Spencer Hardenbrook

N

Stanton McDonald

N

Stanton Mcdonald Md Pc

N

Steven Call

N

Steven E Call Md

N

Steven E Warren Md Pc Llc

N

Steven Warren

N

Timothy S Houden MD PC

N

Travis Engar LLC

N

Ungricht Parker Eye Associates Inc

N

Utah Cardiology PC

N

Utah Spine Care LLC

N

Utah Valley Radiology Associates Inc

N

Wasatch Physical And Rehabilitation Medicine, P.C.

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

Miller

Steven

ACO Chairman of the Board

1

ACO Participant Representative

Intermountain Ear, Nose & Throat

Allred

B. Dee Allred

ACO Secretary/Treasurer

1

ACO Participant Representative

Bryce D. Allred MD APC

McOmber

Michelle

ACO Executive

1

Other; ACO Management Representative

Utah Medical Association

Zehnder

Brian

ACO Medical Director

1

ACO Participant Representative

Exodus Healthcare Network PLLC

Ogden

Jeffrey

ACO Quality Assurance/Improvement Officer

1

ACO Participant Representative

Jeffrey G Ogden, MD PC – Orem Medical

 

 

 

 

Walton

Matthew

ACO Board Member

1

ACO Participant Representative

Canyon View Medical Group

Frame

Joshua

ACO Board Member

1

ACO Participant Representative

Southwest Internal Medicine

Jensen

Geraldine

ACO Board Member

1

Medicare Beneficiary Representative

N/A

 

Key ACO clinical and administrative leadership:

Michelle McOmber

ACO Executive

Brian Zehnder, MD

Medical Director

Benjamin Levine

Compliance Officer

Jeffrey Ogden, MD

Quality Assurance/Improvement Officer

 

 

 

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:

  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $2,204,568

 

Shared Savings Distribution

  • First Agreement Period
    • 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

2018 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

84.31

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

92.38

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

91.72

92.45

ACO-4

CAHPS: Access to Specialists

80.69

81.50

ACO-5

CAHPS: Health Promotion and Education

57.27

59.26

ACO-6

CAHPS: Shared Decision Making

57.16

61.94

ACO-7

CAHPS: Health Status/Functional Status

70.52

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

31.85

26.26

ACO-8

Risk Standardized, All Condition Readmission

14.89

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

17.69

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

29.85

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

64.64

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

50.54

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

2.02

1.98

ACO-11

Use of Certified EHR Technology

93.68

98.20

ACO-12

Medication Reconciliation Post-Discharge

99.53

85.91

ACO-13

Falls: Screening for Future Fall Risk

82.22

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

81.25

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

77.92

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

78.00

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

86.48

76.83

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

80.00

72.81

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

74.30

66.74

ACO-19

Colorectal Cancer Screening

72.89

68.27

ACO-20

Breast Cancer Screening

66.09

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79.24

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

10.98

15.51

ACO-41

Diabetes: Eye Exam

63.01

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

74.47

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

90.25

88.92

 

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

Note: In the Quality Performance Results file(s) above, search for “Utah Physicians Quality Care” or “UPQC” to view the quality performance results. This ACO can also be found by using the ACO ID A3613 in the public use files on data.cms.gov.

Payment Rule Waivers

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

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.