ACO

About Community Memorial Health System

Accountable Care Alliance of Ventura

 

Contact

ACO Name & Location

Accountable Care Alliance of Ventura, LLC
147 North Brent Street
Ventura, California 93003

ACO Primary Contact

Primary Contact Name Wilfred Garand
Primary Contact Phone Number (805) 652-5009
Primary Contact Email Address wgarand@cmhshealth.org

Organizational Information

ACO Participants ACO Participant in Joint Venture
(enter Y or N)
Jillanne McCarty N
Michael Stelman N
Samuel Bern N
Stephen M. Feinberg, M.D., Inc. N
W. Michael Hogan, M.D., PC N
California Cardiovascular and Thoracic Surgeons N
Lois Barnes, M.D., Inc. N
Wellspring Family Medical Group N
Sandhya Patel N
Ventura Emergency Physicians N
James Woodburn N
James Sands N
Jerome Maryniuk, M.D. N
Andrea Parmelee N
Community Physicians of Ventura County N
Ventura Orthopedic Spine, Inc. N
Ventura Care Partners, APC N
West Coast Vascular N
Antulio B. Aroche, Jr., D.O., APC N
Michael M. Salehpour, M.D., APC N
Pacific Inpatient Physicians N
Stephan Sweet, M.D., Inc. N
Arthur Inoshita N
Thomas McBreen N
Stuart Bloom N
Jerald Somdahl, D.P.M. N
Bruce Woodling N
Shane James Shepard, M.D. N
Joel M. Corwin, M.D., A Medical Corporation N
William Speitel N
Westside Family Practice N
General Surgery Medical Group of Ventura County N
James Hornstein, M.D. N
Ojai Valley Family Medicine Group N
Ventura Pulmonary and Critical Care Medical Group N
Valley Oak Family Practice Medical Group, Inc. N
Thomas F. Golden, M.D., APC N
Robert T. Mazurek, M.D., APC N
Cardiology Associates Medical Group, Inc. N
C. S. Rayhrer, M.D., APC N
Ojai Family Podiatry Clinic, Inc. N
Allergy Care Center, A Medical Corporation N
Irene Bih Wakam, M.D., APC N
Margaret Peterson N
William T. Klope, M.D., Inc., A Medical Corporation N
Loma Vista Endocrinology, Inc. N
Andrew C. Kerr, M.D., Inc. N
Community Memorial Health System N
Ventura Cardiology Consultants Medical Group, Inc. N
Ventura County Obstetric and Gynecologic Medical Group, Inc. N
Warwar Medical Group, Inc. N
I. Grossman, M.D., Inc. N
Covington, Menz, Lyche and Lin Medical Group N
Kenneth Hartenstein, M.D. N
Michael D. Began, APC 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
Speitel William M.D., Chair Voting Member ACO Participant William Speitel
Bryant Timothy M.D. Voting Member ACO Participant General Surgery Medical Group of Ventura County
Dominguez Victor M.D. Voting Member ACO Participant Community Memorial Health System
Golden Thomas M.D. Voting Member ACO Participant Thomas F. Golden, M.D.
A Professional Corporation
Warwar Robert M.D. Voting Member ACO Participant Warwar Medical Group
Banman Edward M.D. Voting Member ACO Participant Primary Medical Group
of Ventura
Wheaton Sherilyn M.D. Voting Member ACO Participant Primary Medical Group
of Ventura
Orozco Abraham M.D. Voting Member ACO Participant Community Memorial Health System
Tedesco Dominic M.D. Voting Member ACO Participant California Cardiovascular and Thoracic Surgeons
Glyer David Voting Member ACO Participant Community Memorial Health System
Wilde Gary PhD. Voting Member ACO Participant Community Memorial Health System
Bick Michael PhD. Voting Member ACO Participant Medicare Beneficiary Representative

Key ACO Clinical & Administrative Leadership

Wilfred Garand ACO Executive
James Hornstein Medical Director
Emilie Rayman Compliance Officer
Cindy DeMotte Quality Assurance/Improvement Officer

Associated Committees & Committee Leadership

Committee Name Committee Leader
Name & Position
Quality Committee James Hermann, M.D., Chair
Population Health Committee Helen Petroff, M.D., Chair
Finance Committee Timothy Bryant, M.D., Chair

Types of ACO Participants or Combinations of Participants That Formed the ACO

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings/Losses

Amount of Shared Savings/Losses

  • First Agreement Period:
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • First Agreement Period:
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • 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

Quality Performance Results Table 2016

ACO # Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.8 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 93.2 93.01
ACO-3 CAHPS: Patients’ Rating of Provider 93.02 92.25
ACO-4 CAHPS: Access to Specialists 84.61 83.49
ACO-5 CAHPS: Health Promotion and Education 58.02 60.32
ACO-6 CAHPS: Shared Decision Making 75.11 75.4
ACO-7 CAHPS: Health Status/Functional Status 72.45 72.3
ACO-34 CAHPS: Stewardship of Patient Resources 21.99 26.97
ACO-8 Risk-Standardized, All Condition Readmission 14.69 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.12 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 46.56 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 74.76 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with
Multiple Chronic Conditions
55.58 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 7.4 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 16.35 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 87.1 82.72
ACO-39 Documentation of Current Medications in the Medical Record 75.53 87.54
ACO-13 Falls: Screening for Future Fall Risk 54.62 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 50.77 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 58.17 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI)
Screening and Follow Up
63.31 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening
and Cessation Intervention
78.59 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 33.58 53.63
ACO-19 Colorectal Cancer Screening 66.13 61.52
ACO-20 Breast Cancer Screening 74.6 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 58.47 76.79
ACO-42 Statin Therapy for the Prevention and Treatment of
Cardiovascular Disease
83.22 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 24.83 18.24
ACO-41 Diabetes: Eye Exam 37.93 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 63.91 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 85.89 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 81.63 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%) 79.75 79.67
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 “Accountable Care Alliance of Ventura, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A25380 in the public use files on data.cms.gov.


Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.