Public Reporting

ACO Name and Location
Integrated ACO LLC
2200 Park Bend Drive
Bldg 2-300
Austin, Texas 78758

ACO Primary Contact

Primary Contact Name Patricia Grimes
Primary Contact Phone Number 512-821-2774
Primary Contact Email Address patricia.grimes@integrated-aco.com

 

 

 

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Abimbola M. Banjo, MD PA Y
Alicia W Grossmann, MD PA Y
Alpine Medical Center, PLLC Y
Austin Medical Group, PLLC Y
Bastrop County Medical Associates, PA Y
Dominion Medical Associates, PA Y
Emmanuel C. Edoka, MD Y
Family Medical Center of Georgetown, PA Y
Flora Medical Clinic, PLLC Y
Inspire Family Health Y
Jesus G. Garcia, MD PA Y
Joseph A Marotta, MD PA Y
Kendall Wong, MD Y
Kevin Stephens, MD PA Y
Legends Medical Clinic, PLLC Y
Leo Toupin, MD PA Y
Lisa Davis, MD PA Y
Luis Bieler, MD PA Y
Manuel R. Carrasco, MD PA Y
Nandini Kohli, MD PA Y
North Star Family Medicine, PA Y
North Austin Family Medicine, PA Y
Odessa Consultants, PLLC Y
Oscar Garza, MD PA Y
Pankaj J Patel, MD PA Y
Paul E. Bristol, MD Y
Pleasanton Family Medicine, PLLC Y
Port Lavaca Clinic Associates, PA Y
Psychiatric Medical Associates PA Y
Raj Patel, MD PA Y
Rajanikant Pandya, MD Y
Rajesh M Mehta, MD Inc Y
Rajesh J Patel, MD PA Y
Raul Gaona, Jr., MD Y
Sammy Lerma III, MD PA Y
Shane Edward Keller, MD PA Y
Shroff Cardiology & Internal Medicine Clinic, PA Y
Shylesh Ganta, MD PA Y
South San Antonio Medical Associates Y
South Texas Internal Medicine Associates, PA Y
Sumant A Kumar, MD Y
Suresh Prasad, MD PA Y
Texas Midwest Gastroenterology Center, PA Y
The Eagle Ford Clinics, PA Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Integrated ACO Governing Body

Member Last Name Member First Name Member Title/Position Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Shroff Nick Chairman 1 Stakeholder HiFu Urology of Texas PLLC
Mankad Vipul Sr Medical Advisor 1 Stakeholder Qualitas Healthcare Solutions Inc
Kohli Nandini Chief Medical Officer/ Medical Director 1 Participant Nandini Kohli MD PA dba Austin Primary Care Physicians
Ganta Shylesh 1 Participant Shylesh Ganta MD PA
Garza Oscar 1 Participant Oscar Garza MD PA
Gupta Rajeev 1 Participant Bastrop County Medical Associates PA
Kumar Sumant 1 Participant Sumant A Kumar MD
Marotta Joseph 1 Participant Joseph A Marotta MD PA
Pamganamamula Madhu 1 Participant Odessa Consultants, PLLC
Patel Raj 1 Participant Raj Patel MD PA
Perkins William 1 Beneficiary William Perkins
Sanchez David Secretary/Treasurer 1 Participant Alpine Medical Center Pllc
Wong Kendall 1 Participant Kendall Wong MD
Ganeshappa K. P. 0 Stakeholder Dr K P Ganeshappa
Rao Nagi 0 Stakeholder SysInformation Inc

Key ACO Clinical and Administrative Leadership

Patricia Grimes ACO Executive
Nandini Kohli Chief Medical Officer
Matt Thompson Compliance Officer
Patricia Grimes Quality Assurance/Improvement Officer

 

 

 

 

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Finance William Ritter, Chairman
Governing Nick Shroff, MD, Chairman

Types of ACO participants, or combinations of participants, that formed the ACO:

  • A network of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses
 
Amount of Shared Savings/Losses

    Second Agreement Period

    • Performance Year 2016, $1,222,234

    First Agreement Period

    • Performance Year 2015: $3,518,859
    • Performance Year 2014: $3,952,716
    • Performance Year 2013: $1,748,262

Shared Savings Distribution

Second Agreement Period

  • Performance Year 2016
    • Proportion invested in infrastructure: 39%
    • Proportion invested in redesigned care processes/resources: 12%
    • Proportion of distribution to ACO participants: 49%

First Agreement Period

  • Performance Year 2015
    • Proportion invested in infrastructure: 62%
    • Proportion invested in redesigned care processes/resources: 3%
    • Proportion of distribution to ACO participants: 35%
  • Performance Year 2014
    • Proportion invested in infrastructure: 48%
    • Proportion invested in redesigned care processes/resources: 37%
    • Proportion of distribution to ACO participants: 15%
  • Performance Year 2013
    • Proportion invested in infrastructure: 82%
    • Proportion invested in redesigned care processes/resources: 18%
    • Proportion of distribution to ACO participants: 0%

Quality Performance Results

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.95 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 92.96 92.63
ACO-3 CAHPS: Patients' Rating of Provider 91.84 91.93
ACO-4 CAHPS: Access to Specialists 83.74 83.52
ACO-5 CAHPS: Health Promotion and Education 58.06 60
ACO-6 CAHPS: Shared Decision Making 75.82 75.28
ACO-7 CAHPS: Health Status/Functional Status 68.34 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 36.4 27.52
ACO-8 Risk-Standardized, All Condition Readmission 14.38 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 18.93 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 59.84 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 74.2 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 61.92 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 10.91 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 11.18 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 63.16 82.72
ACO-39 Documentation of Current Medications in the Medical Record 97.55 87.54
ACO-13 Falls: Screening for Future Fall Risk 27.49 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 41.48 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 39.29 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 68.8 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.95 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 17.61 53.63
ACO-19 Colorectal Cancer Screening 25.8 61.52
ACO-20 Breast Cancer Screening 47.19 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 63.6 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 69.68 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 20.55 18.24
ACO-41 Diabetes: Eye Exam 18.15 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.85 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 69.25 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 89.29 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%) 81.55 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 “Integrated ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A54437 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.