ACO Name and Location

Central Utah Clinic, PC
1055 North 500 West
Provo, Utah 84604

ACO Primary Contact

Debra Taylor
dtaylor@centralutahclinic.com
801-429-8148

Composition of ACO:

ACO Professionals Only

ACO Participants

Central Utah Clinic, PC

CUC ACO Governing Body

Scott Bingham, MD  – ACO Committee Chair, Executive Committee member
Kurt Bodily, MD – Finance Committee Chair, Executive Committee member
Thomas Dickinson, MD – Executive Committee Chair
Curtis Johnson, MD –  ACO Committee member
Jeff Johnson, MD – IT Committee Chair, Executive Committee member
Sean Curzon, MD
Jeff Wallentine, MD
Kent Gledhill, MD
Mark Donaldson, MD – Government Affairs Committee member
Eric Carter, MD – IT Committee member
Curtis Carter, MD
Steve Wallentine, MD
Bruce McAllister, MD – ACO Committee member, Finance Committee member

CUC ACO Committees and Key Leadership Personnel

ACO Committee Chair:  Scott Bingham, MD
ACO Committee Member:  Bruce McAllister, MD
ACO Committee Member: Justin Jones, MD
ACO Committee Member: Curtis Johnson, MD
ACO Committee Member: Rob Lloyd, CUC COO
ACO Committee Member: Debra Taylor, RN, Director of Clinical & Quality Services
ACO Committee Member: Jonathan Keller, Director of Data Analytics
ACO Committee Member: Beth Sant, Analytics

How Savings are Distributed

Reinvest in infrastructure: 20%
Distribution to ACO Participants: 80%
Primary Care Professionals: 33.3%
Specialists: 33.3%
Hospital: 33.3%

CMS ACO Contact Information

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.

Medicare Beneficiary Representative

Dian Mahin
801-812-5001

Aggregate Amount of Shared Savings/Losses

2014

    (4,905,245)

2013

    (3,380,810)

2012

    (5,220,307)

Quality Measure Results

ACO-1: Getting Timely Care, Appointments, and Information

2015

  • 76.30% – Performance
  • 80.61% – Mean

2014

  • 78.77% – Performance
  • 80.13% – Mean
ACO-2: How Well Your Doctors Communicate

2015

  • 91.06% – Performance
  • 92.65% – Mean

2014

  • 92.05% – Performance
  • 92.39% – Mean
ACO-3: Patients’ Rating of Doctor

2015

  • 89.62% – Performance
  • 91.94% – Mean

2014

  • 91.86% – Performance
  • 91.58% – Mean
ACO-4: Access to Specialists

2015

  • 85.64% – Performance
  • 83.61% – Mean

2014

  • 83.09% – Performance
  • 83.97% – Mean
ACO-5: Health Promotion and Education

2015

  • 51.39% – Performance
  • 59.06% – Mean

2014

  • 50.29% – Performance
  • 58.29% – Mean
ACO-6: Shared Decision Making

2015

  • 77.35% – Performance
  • 75.17% – Mean

2014

  • 74.78% – Performance
  • 74.60% – Mean
ACO-7: Health Status/Functional Status

2015

  • 69.03% – Performance
  • 72.30% – Mean

2014

  • 70.55% – Performance
  • 71.10% – Mean
ACO-8: Risk Standardized All Condition Readmission

Description: Risk-adjusted percentage of Accountable Care Organization (ACO) assigned beneficiaries who were hospitalized who were readmitted to a hospital within 30 days following discharge from the hospital for the index admission.

Note: A lower performance score and a higher mean score indicate that Revere Health performed better than average in this category.

2015

  • 13.30% – Performance
  • 14.86% – Mean

2014

  • 13.90% – Performance
  • 15.15% – Mean

 

2013

  • 13.96% – Performance
  • 14.90% – Mean

 

2012

  • 15.16% – Performance
  • 15.42% – Mean

 

ACO-9: ASC Admissions: COPD or Asthma in Older Adults

Description: All discharges ICD-9-CM principal diagnosis code for COPD or Asthma in adults ages 40 years and older, for ACO assigned or aligned Medicare beneficiaries with COPD or Asthma, with risk-adjusted comparison of observed discharges to expected discharges for each ACO.

Note: A lower performance score and a higher mean score indicate that Revere Health performed better than average in this category.

2015

  • 0.51% – Performance
  • 1.11% – Mean

2014

  • 0.55% – Performance
  • 1.08% – Mean

 

2013

  • 0.66% – Performance
  • 1.13% – Mean

 

2012

  • 0.69% – Performance
  • 1.13% – Mean

 

ACO-10: Prevention Quality Indicator (PQI): Ambulatory Sensitive Conditions Admissions for Heart Failure (HF)

Description: All discharges ICD-9-CM principal diagnosis code for HF in adults ages 18 years and older, for ACO assigned or aligned Medicare beneficiaries with HF, with risk-adjusted comparison of observed discharges to expected discharges for each ACO.

Note: A lower performance score and a higher mean score indicate that Revere Health performed better than average in this category.

2015

  • 0.56% – Performance
  • 1.04% – Mean

2014

  • 0.59% – Performance
  • 1.19% – Mean

 

2013

  • 0.69% – Performance
  • 1.20% – Mean

 

2012

  • 0.62% – Performance
  • 1.09% – Mean

 

ACO-11: Percent of Primary Care Physicians Who Successfully Qualify for an EHR Program Incentive Payment

Description: Percentage of Accountable Care Organization (ACO) primary care physicians (PCPs) who successfully qualify for either a Medicare or Medicaid Electronic Health Record (EHR) Incentive Program incentive payment.

2015

  • 100% – Performance
  • 76.22% – Mean

2014

  • 92.54% – Performance
  • 76.71% – Mean

 

2013

  • 83.33% – Performance
  • 66.21% – Mean

 

2012

  • 67.31% – Performance
  • 59.87% – Mean

 

ACO-12: Medication Reconciliation

2014

  • 71.12% – Performance
  • 82.61% – Mean
ACO-13: Falls: Screening for Fall Risk

2015

  • 42.16% – Performance
  • 56.46% – Mean

2014

  • 12.50% – Performance
  • 45.60% – Mean
ACO-14: Influenza Immunization

2015

  • 47.73% – Performance
  • 62.03% – Mean

2014

  • 47.26% – Performance
  • 57.51% – Mean
ACO-15: Pneumococcal Vaccination

2015

  • 62.42% – Performance
  • 63.73% – Mean

2014

  • 55.03% – Performance
  • 55.03% – Mean
ACO-16: Adult Weight Screening and Follow-up

2015

  • 71.99% – Performance
  • 71.15% – Mean
ACO-17: Tobacco Use Assessment and Cessation Intervention

2015

  • 84.69% – Performance
  • 90.16% – Mean

2014

  • 85.23% – Performance
  • 86.79% – Mean
ACO-18: Depression Screening

2015

  • 28.10% – Performance
  • 45.25% – Mean

2014

  • 5.13% – Performance
  • 39.27% – Mean
ACO-19: Colorectal Cancer Screening

2015

  • 61.44% – Performance
  • 60.06% – Mean

2014

  • 64.37% – Performance
  • 56.14% – Mean
ACO-20: Mammography Screening

2015

  • 63.18% – Performance
  • 65.67% – Mean

2014

  • 55.12% – Performance
  • 61.41% – Mean
ACO-21: Proportion of Adults who had blood pressure screened in past 2 years

2015

  • 50.00% – Performance
  • 70.04% – Mean

2014

  • 56.95% – Performance
  • 60.24% – Mean
ACO-22: Hemoglobin A1c Control (HbA1c) (less than 8 percent)

2014

  • 75.58% – Performance
  • 25.41% – Mean
ACO-23: Low Density Lipoprotein (LDL) (less than 100 mg/dL)

2014

  • 53.96% – Performance
  • 25.41% – Mean
ACO-24: Blood Pressure (BP) < 140/90

2014

  • 70.79% – Performance
  • 25.41% – Mean
ACO-25: Tobacco Non-Use

2014

  • 88.45% – Performance
  • 25.41% – Mean
ACO-26: Aspirin Use

2014

  • 79.07% – Performance
  • 25.41% – Mean
ACO-27: Percent of beneficiaries with diabetes whose HbA1c in poor control (less than 9 percent)

Note: A lower performance score and a higher mean score indicate that Revere Health performed better than average in this category.

2015

  • 14.87% – Performance
  • 20.38% – Mean

2014

  • 16.17% – Performance
  • 20.35% – Mean
ACO-28: Percent of beneficiaries with hypertension whose BP is less than 140/90

2015

  • 67.84% – Performance
  • 69.62% – Mean

2014

  • 65.33% – Performance
  • 68.02% – Mean
ACO-29: Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl

2014

  • 59.76% – Performance
  • 57.29% – Mean
ACO-30: Percent of beneficiaries with IVD who use Aspirin or other antithrombotic

2015

  • 76.99% – Performance
  • 83.82% – Mean

2014

  • 72.22% – Performance
  • 80.79% – Mean
ACO-31: Beta-Blocker Therapy for LVSD

2015

  • 93.33% – Performance
  • 87.22% – Mean

2014

  • 59.18% – Performance
  • 82.71% – Mean
ACO-32: Drug Therapy for Lowering LDL Cholesterol

2014

  • 64.56% – Performance
  • 66.90% – Mean
ACO-33: ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD

2015

  • 60.55% – Performance
  • 77.73% – Mean

2014

  • 47.62% – Performance
  • 66.90% – Mean
ACO-34 CAHPS: Stewardship of Patient Resources

2015

  • 31.33% – Performance
  • 26.86% – Mean
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

2015

  • 16.33% – Performance
  • 18.07% – Mean
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes

2015

  • 42.18% – Performance
  • 54.60% – Mean
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure

2015

  • 50.34% – Performance
  • 76.96% – Mean
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

2015

  • 46.15% – Performance
  • 62.92% – Mean
ACO-39 Documentation of Current Medications in the Medical Record

2015

  • 72.13% – Performance
  • 84.07% – Mean
ACO-40 Depression Remission at Twelve Months

2015

  • 0.00% – Performance
  • 6.11% – Mean
ACO-41 Diabetes: Eye Exam

2015

  • 52.45% – Performance
  • 41.05% – Mean
Diabetes Composite (All or Nothing Scoring)

2015

  • 48.86% – Performance
  • 35.38% – Mean

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