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

Kristin Rosemond

Primary Contact Phone Number

(626) 744-2393

Primary Contact Email Address

Kristin.Rosemond@DignityHealth.org


Organizational Information

ACO Participants:
ACO Participants ACO Participant in Joint Venture

Alan Lyne

N

Allergy Care Center A Medical Corporation

N

Alpine Orthopaedic Medical Group Inc

N

Aziz Kamali MD Inc

N

Bhagya Nakka, M.D., Inc.

N

Biserka Matkovic

N

Brian Bai Clinic, Inc

N

Cabrillo Cardiology Med Grp

N

California Family Medical Group Inc

N

Cardiology Associates Medical Group

N

Cardiovascular & Thoracic Surgeons Of Ventura County, APC

N

Central Coast Cardiovascular Group Inc

N

Central Valley Cardiovascular Associates Inc

N

Christopher D Arnold D.O. A Medical Coorporation

N

Dignity Health Medical Foundation

N

Gary D Wikholm, MD A PC

N

General Surgery Medical Group of Ventura County

N

Geriatrics Long Term Care Medical Corporation

N

Gilbert Greene

N

Henry K Liao MD Incorporated

N

Jagjit Singh, M.D., Inc

Y

Jennifer Abraham

N

Jerry Soung

N

Joan Vicente

N

Josebelo D. Chong M.D., Inc.

N

Karandeep Singh MD PC

N

Kwabena Adubofour, MD Inc

N

Logan Bundy MD

N

Loma Vista Endocrinology Inc

N

Manoj Khatore MD A Professional Corporation

N

Manshadi Heart Institute Inc

N

Merced Faculty Associates Medical Group Incorporated

N

Merced Heart Associates

N

Miroslav Djokic M.D. Inc.

N

Mountain View Family Medical Group, Inc

N

Neal P Dixon MD A General Surgical Medical Corporation

N

Oxnard Camarillo Pulmonary And Internal Medicine Medical Group

N

P. Gill Obstetrics & Gynecology Medical Group, Inc.

N

Pacific Central Coast Health Centers

N

Pacific Kidney & Hypertension Inc

Y

Pacific Sleep Disorders Center A California General Partnership

N

Patricia A. Hatton, M.D., Inc

N

Poonam Duggal

N

Premier Family Health Care, A Professional Corporation

N

Redding Family Medical Group, Inc.

N

Redding Primary Care Medical Group, Inc.

N

Rose Avenue Family Medical Group A Professional Corporation

N

San Joaquin Cardiology Medical Group Inc

N

San Joaquin Kidney Clinic, Inc

N

Sanjeev K Goswami MD Inc

N

Spanish Hills Medical Group Inc

N

Stanislaus Kidney and Hypertension

N

Stephan Sweet MD Inc.

N

Stockton Hematology Oncology Medical Group Inc

N

Stockton Nephrology, Inc.

N

Stockton Pathology Medical Group

N

Stockton Urgent Care Medical Clinic Inc

N

Tanveer S Bajwa MD Inc

N

Than T Aung MD Inc

N

Theresa Enriquez, MD, Inc

N

Ventura Orthopedics Medical Group Inc

N

West Coast Plumonary Physicians a Professional Medical Corporation

N

ACO governing Body:
Member
Last Name First Name Title / Position Member's Voting Power - Expressed as a percentage or number Membership Type ACO Participant TIN
Legal Business
Name/DBA, if
Applicable

Arciniega

Jose

 

1

ACO Participant Representative

Dignity Health Medical Foundation

Chen

Steven

 

1

ACO Participant Representative

Premier Family Health Care, A Professional Corporation

Crye

Leroy

 

1

Medicare Beneficiary Representative

N/A

Fowler

Dawn

 

1

Community Stakeholder Representative

N/A

Shatzel

Alan

 

1

ACO Participant Representative

Dignity Health Medical Foundation

Kouk

Tristan

 

1

ACO Participant Representative

Dignity Health Medical Foundation

Hopp

Karen

Chair

1

ACO Participant Representative

Dignity Health Medical Foundation

Keet

Robert

 

1

ACO Participant Representative

Dignity Health Medical Foundation

Kim

Joe

 

1

ACO Participant Representative

Dignity Health Medical Foundation

Magee

Steven

 

1

ACO Participant Representative

Dignity Health Medical Foundation

Mescher

David

 

1

ACO Participant Representative

Dignity Health Medical Foundation

Rabago

James

 

1

ACO Participant Representative

Merced Faculty Associates Medical Group Incorporated

Robertson

Scott

 

1

ACO Participant Representative

Pacific Central Coast Health Centers

Sagireddy

Purushottama

Secretary

1

ACO Participant Representative

San Joaquin Kidney Clinic, Inc

Solkovits

Andrew

Vice-Chair

1

ACO Participant Representative

Mountain View Family Medical Group, Inc

Key ACO Clinical and Administrative Leadership:

  1. ACO Executive: Kristin Rosemond
  2. Medical Director: Dr. David Mescher
  3. Compliance Officer: Christi Knox
  4. Quality Assurance/Improvement Officer: Dr. David Mescher
Associated Committees and Comittee Leadership:
Committee Name Committee Leader Name and Position
Bakersfield Advisory Committee Dr. Vip Dev, 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. John Gisla, Chair
Santa Cruz Advisory Committee Dr. Anne-Marie Jackson, Chair
Stockton Advisory Committee Dr. Purushottma Sagireddy, Chair
Ventura Advisory Committee Dr. David Mescher, Chair
Woodland Advisory Committee Dr. Khuram Arif, 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, N/A
  • First Agreement Period
    • Performance Year 2020, $15,005,537
Shared Savings Distributions:
  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 70%

Quality Performance Results:

2020 Quality Performance Results

ACO Quality Measure Number Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.70 0.95
ACO-13 Falls: Screening for Future Fall Risk 81.12 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 63.42 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.32 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 56.57 71.46
ACO-19 Colorectal Cancer Screening 71.39 72.59
ACO-20 Breast Cancer Screening 73.41 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.80 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.66 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 69.96 72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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

Payment Rule Waivers:
  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612
  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.
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