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Public Reporting

ACO Name and Location

Dignity Health Care Network LLC
185 Berry Street
Suite 300, Lobby 2
San Francisco, CA 94107

ACO Primary Contact

Primary Contact Name Rosa Vicente-Soito
Primary Contact Phone Number

(530) 225-6186
Primary Contact Email Address [email protected]

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture 
ALAN LYNE N
AZIZ KAMALI MD INC N
BRIAN BAI CLINIC, INC N
CALIFORNIA FAMILY MEDICAL GROUP INC N
CHRISTOPHER D ARNOLD D.O. A MEDICAL COORPORATION N
DIGNITY HEALTH MEDICAL FOUNDATION N
FAMILY CLINIC OF MERCED MEDICAL OFFICE INC N
GARY D WIKHOLM, MD A PC N
GILBERT GREENE N
GOLDEN VALLEY HEALTH CENTER N
HENRY K LIAO MD INCORPORATED N
JOAN VICENTE N
KARANDEEP SINGH MD PC N
KWABENA ADUBOFOUR, MD INC N
LOGAN BUNDY MD N
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED N
MOUNTAIN VIEW FAMILY MEDICAL GROUP, INC N
PACIFIC CENTRAL COAST HEALTH CENTERS N
PREMIER FAMILY HEALTH CARE, A PROFESSIONAL CORPORATION N
REDDING FAMILY MEDICAL GROUP, INC. N
ROSE AVENUE FAMILY MEDICAL GROUP A PROFESSIONAL CORPORATION N
SPANISH HILLS MEDICAL GROUP INC N
STOCKTON URGENT CARE MEDICAL CLINIC INC N
SYNERGY MED N
THAN T AUNG MD INC N

 

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 and D/B/A, if applicable
Arciniega Jose 6.25% ACO Participant Representative Dignity Health Medical Foundation
Chen Steven 6.25% ACO Participant Representative Premier Family Health Care, A Professional Corporation
Crye Leroy 6.25% Medicare Beneficiary Representative N/A
Fowler Dawn 6.25% Community Stakeholder Representative N/A
Shatzel Alan 6.25% ACO Participant Representative Dignity Health Medical Foundation
DeEtte Montgomery 6.25% ACO Participant Representative Dignity Health Medical Foundation
Hopp Karen Chair 6.25% ACO Participant Representative Dignity Health Medical Foundation
Keet Robert 6.25% ACO Participant Representative Dignity Health Medical Foundation
Marchuk Rob 6.25% ACO Participant Representative Dignity Health Medical Foundation
Magee Steven 6.25% ACO Participant Representative Dignity Health Medical Foundation
Mescher David 6.25% Community Stakeholder Representative N/A
Rabago James Secretary 6.25% ACO Participant Representative Merced Faculty Associates Medical Group INCORPORATED
Robertson Scott 6.25% ACO Participant Representative Pacific Central Coast Health Centers
Nandanoor Dheeraj 6.25% ACO Participant Representative Synergy Med
Pietrafeso Sue 6.25% Community Stakeholder Representative N/A
Solkovits Andrew Vice-Chair 6.25% ACO Participant Representative Mountain View Family Medical Group, Inc

 

Key ACO Clinical and Administrative Leadership:

  1. ACO Executive: Rosa Vicente-Soito
  2. Medical Director: Dr. David Mescher
  3. Compliance Officer: David Walsh
  4. Quality Assurance/Improvement Officer: Dr. David Mescher

 

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Bakersfield Advisory Committee Dr. Jared Salvo, Chair
Central Coast Advisory Committee Dr. Scott Robertson, Chair
Inland Empire Advisory Committee Dr. Jose Arciniega, Chair
Merced Advisory Committee Dr. James Rabago, Chair
North State Advisory Committee Dr. Gregory Skipitis, Chair
Sacramento Advisory Committee Dr. Ryan Nicholas, Chair
Santa Cruz Advisory Committee Dr. Anne-Marie Jackson, Chair
Stockton Advisory Committee Dr. Purushottma Sagireddy, Chair
Ventura Advisory Committee Dr. Jose Mauricio Pleitez, Chair
Woodland Advisory Committee Dr. Ashley Sens, 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
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses:

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2021, $11,117,019
  • First Agreement Period
    • Performance Year 2020, $15,005,537

Shared Savings Distributions:

  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 32%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 68%
  • First Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 36%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 64%

Quality Performance Results:

2021 Quality Performance Results

Quality performance results are based on CMS Web Interface

 

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 12.30 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 56.23 74.38
236 Controlling High Blood Pressure 73.10 74.87
318 Falls: Screening for Future Fall Risk  85.48 87.03
110 Preventative Care and Screening: Influenza Immunization 78.54 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 79.17 80.97
113 Colorectal Cancer Screening 70.75 73.63
112 Breast Cancer Screening 71.32 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.05 84.24
321 CAHPS for MIPS3 N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1539 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 31.33 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 80.12 84.67
CAHPS-2 How Well Providers Communicate 93.59 93.56
CAHPS-3 Patient’s Rating of Provider 91.09 92.19
CAHPS-4 Access to Specialists 73.12 78.80
CAHPS-5 Health Promotion and Education 58.18 61.61
CAHPS-6 Shared Decision Making 59.56 60.89
CAHPS-7 Health Status and Functional Status 70.52 71.78
CAHPS-8 Care Coordination 81.78 85.66
CAHPS-9 Courteous and Helpful Office Staff 89.13 91.88
CAHPS-11 Stewardship of Patient Resources 24.58 24.71
[1] For PY 2021, measures #134, #438, and #370 do not have CMS Web Interface benchmarks and are not scored as a result.
[2] A lower performance rate corresponds to higher quality.
[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A).

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

 

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov. 

 

Fraud and Abuse Waivers

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

    • Parties to the arrangement: CommonSpirit Health MSO or Dignity Health MSO or Identity MSO Care Coordinators, CommonSpirit Health MSO or Dignity Health MSO or Identity MSO Care Navigators, CommonSpirit Health MSO or Dignity Health MSO or Identity MSO Registered Nurses, CommonSpirit Health MSO or Dignity Health MSO or Identity MSO Licensed Clinical Social Workers, Other support CommonSpirit Health MSO or Dignity Health MSO or Identity MSO staff and liaisons
    • Date of arrangement: 06/03/2020
    • Items, services, goods, or facility provided: Care Coordination and Management Program
    • Date and nature of any amendments to the arrangement, if applicable: N/A

 

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