ACO Name and Location

Texas Rural ACO LLC
7509 NW Tiffany Springs Parkway
Kansas City, Missouri 64153

ACO Primary Contact

Primary Contact Name Greg Paris
Primary Contact Phone Number 916-542-4582
Primary Contact Email Address gparis@caravanhealth.com
 

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Matagorda Episcopal Health Outreach Program N
Shanta Dlima N
Nephrology Leaders and Associates, pllc N
Medical Leaders and Associates, pllc N
El Campo Memorial Hospital Y
Matagorda Family Practice, PLLC N
Shanta Dlima N
Coryell County Memorial Hospital Authority Y
Wilson County Memorial Hospital District Y
Matagorda County Hospital District Y
Chambers County Public Hospital District No 1 Y
Brazosport Regional Physician Services Y
Discovery Medical Network Matagorda Llc N
Sweeny Medical Clinic N
 
 
ACO governing body:
Member Member’s Voting Power Membership Type ACO Participant TIN
Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Stonedale Annette Board Member 1 Medicare Beneficiary Representative N/A
Prochnow Brian Chairman 1 ACO Participant Representative Matagorda County Hospital District
Byrom David Vice-Chairman 1 ACO Participant Representative Coryell County Memorial Hospital Authority
Gularte Steven Treasurer 1 ACO Participant Representative Chambers County Public Hospital District #1
Hittle Karl Board Member 1 ACO Participant Representative Wilson County Memorial Hospital District
Tudor Nathan Board Member 1 ACO Participant Representative El Campo Memorial Hospital
Jeffress Charles Secretary 1 ACO Participant Representative Brazosport Regional Physician Services
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Mohammed Atiq Dada Medical Director
LeeAnn Hastings Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer
 
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Information Technology Committee Lauren Fox, Chairman
Care Coordination & Patient Engagement Committee Crystal Frick, Chairman
Evidence-Based Medicine Committee Mohammad Atiq Dada, Chairman
Finance Committee Chuck Jeffress, Chairman
Quality & Performance Improvement Committee Kathy Lee, Chairman
 
Types of ACO participants, or combinations of participants, that formed the ACO:
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • Rural Health Clinic (RHC)
 

Shared Savings and Losses

Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0
 
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
 

Quality Performance Results

2017 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 79.88 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.72 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 91.30 92.31
ACO-4 CAHPS: Access to Specialists 87.15 83.32
ACO-5 CAHPS: Health Promotion and Education 62.61 62.30
ACO-6 CAHPS: Shared Decision Making 76.43 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.43 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 27.15 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.12 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.61 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 54.58 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 79.57 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.48 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.35 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 73.11 75.32
ACO-13 Falls: Screening for Future Fall Risk 68.83 74.38
ACO-44 Imaging Studies for Low Back Pain 76.92 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 64.19 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 57.03 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 68.98 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.98 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 62.75 61.98
ACO-19 Colorectal Cancer Screening 54.80 64.58
ACO-20 Breast Cancer Screening 56.22 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.52 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.94 16.74
ACO-41 Diabetes: Eye Exam 39.92 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 59.68 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 84.34 86.86
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 “Texas Rural ACO LLC” or “Texas Rural ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A02219 in the public use files on data.cms.gov.

Payment Rule Waivers

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