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
DeEtte	Montgomery		6.25%	ACO Participant Representative	Dignity Health Medical Foundation
Fowler	Dawn		6.25%	Community Stakeholder Representative	N/A
Greenough	Margaret		6.25%	ACO Participant Representative	Pacific Central Coast Health Centers
Hopp	Karen	Chair	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
Nandanoor	Dheeraj		6.25%	ACO Participant Representative	Synergy Med
Pietrafeso	Sue		6.25%	Community Stakeholder Representative	N/A
Pleitez	Mauricio		6.25%	ACO Participant Representative	Spanish Hills Medical Group
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
Shatzel	Alan		6.25%	ACO Participant Representative	Dignity Health Medical Foundation
Solkovits	Andrew	Vice-Chair	6.25%	ACO Participant Representative	Mountain View Family Medical Group, Inc
Yee	Jeffrey		6.25%	ACO Participant Representative	Dignity Health Medical Foundation

Key ACO Clinical and Administrative Leadership:

ACO Executive: Rosa Vicente-Soito
Medical Director: Dr. David Mescher
Compliance Officer: David Walsh
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. Andrew Solkovits, 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. Megan Mescher-Cox, 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:

Third Agreement Period

Performance Year 2022, $$11,919,262

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

Shared Savings Distributions:

Third Agreement Period
- Performance Year 2022
  - Proportion invested in infrastructure: 3o%
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: 70%

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:

2022 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	9.68	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	69.2	76.97
236	Controlling High Blood Pressure	75.23	76.16
318	Falls: Screening for Future Fall Risk	89.72	87.83
370	Depression Remission at twelve months	5.17	N/A
110	Preventative Care and Screening: Influenza Immunization	74.04	77.34
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	81.25	79.27
113	Colorectal Cancer Screening	76.07	75.32
112	Breast Cancer Screening	76.05	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	90.445	86.37/span>
321	CAHPS for MIPS³	N/A	N/A
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups²	0.1476	0.150987
MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)²	28.96	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	75.46	83.96
CAHPS-2	How Well Providers Communicate	91.32/span>	93.47
CAHPS-3	Patient’s Rating of Provider	90.69	92.06
CAHPS-4	Access to Specialists	77.98	77.00
CAHPS-5	Health Promotion and Education	60.39	62.68
CAHPS-6	Shared Decision Making	59.83	60.97
CAHPS-7	Health Status and Functional Status	74.53	73.06
CAHPS-8	Care Coordination	82.19	85.46
CAHPS-9	Courteous and Helpful Office Staff	88.17	91.97
CAHPS-11	Stewardship of Patient Resources	17.07	25.62

[1] For PY 2022, measures #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 (#370) 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 Care Coordinators, CommonSpirit Health MSO or Dignity Health MSO Care Navigators, CommonSpirit Health MSO or Dignity Health MSO Registered Nurses, CommonSpirit Health MSO or Dignity Health MSO Licensed Clinical Social Workers, Other support CommonSpirit Health MSO or Dignity Health 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

Website Disclosure