SHARED SAVINGS PROGRAM PUBLIC REPORTING
ACO Name and Location
Utah Physicians Quality Care
310 East 4500 South
Suite 500
Salt Lake City, Utah 84107
ACO Primary Contact
Michelle McOmber, MBA CAE
801-747-3500 ext 221
[email protected]
Organizational Information
ACO Participants ACO Participant in Joint Venture
Advanced Pulmonary, Sleep Disorder and Internal Medicine LLC
|
No
|
Allergy Associates of Utah, P.C.
|
No
|
Alturas Health LLC |
No |
Ashley Valley Family Practice
|
No |
Brian W Heaton MD PC
|
No |
BRIGHAM MEDICAL CLINIC, INC.
|
No |
Bryce Allred
|
No |
Central Utah Radiology Inc
|
No |
Corey D Anden MD PC
|
No |
Country Hills Eye Center
|
No |
Darren B. Jenkins, D.O., P.C.
|
No
|
David C Bradshaw MD PC
|
No |
Evolutionary Healthcare LLC
|
No |
Exodus Healthcare Network PLLC
|
No |
Gut Whisperer PC
|
No |
Hidden Valley Family Medicine Inc
|
No |
Integrated Medical Services
|
No |
Intermountain Ear Nose and Throat Specialists LLC
|
No |
INTERNAL MEDICINE CLINIC OF TANGIPAHOA, LLC |
No |
JEFFREY G OGDEN MD PC |
No |
Jeffrey Ogden
|
No |
KAREN MURRAY RADLEY MD PC
|
No |
Matthew R. Call Do
|
No |
Michelle E Murday Md Pc
|
No |
MICHELLE PEPPER MD PC
|
No |
Neurological Associates LLC
|
No |
Ray Andrew Md Pc
|
No |
Salt Lake Region Neurosurgery, LLC |
No |
Seth R Lewis Md Pc
|
No |
Sharon Richens MD Eye Physician & Surgeon PC
|
No |
Southwest Internal Medicine, PC
|
No |
Stanton McDonald
|
No |
Steven E Call Md
|
No |
Ungricht Parker Eye Associates Inc
|
No |
Utah Cardiology PC
|
No |
Utah Valley Radiology Associates Inc
|
No |
VERNAL FAMILY MEDICINE PLLC
|
No |
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, if applicable
|
Miller
|
Steven
|
ACO Chairman of the Board
|
14.3%
|
ACO Participant Representative
|
Intermountain Ear Nose and Throat
|
Allred
|
B. Dee
|
ACO Secretary/Treasurer
|
14.3%
|
ACO Participant Representative
|
Bryce D. Allred MD APC
|
McOmber
|
Michelle
|
ACO Executive
|
14.3%
|
Other; ACO Management Representative
|
Utah Medical Association
|
Zehnder
|
Brian
|
ACO Medical Director
|
14.3%
|
ACO Participant Representative
|
Exodus Healthcare Network PLLC
|
Ogden
|
Jeffrey
|
ACO Quality Assurance/Improvement Officer
|
14.3%
|
ACO Participant Representative
|
Jeffrey G Ogden MD PC - Orem Medical
|
Frame
|
Joshua
|
ACO Board Member
|
14.3%
|
ACO Participant Representative
|
Southwest Internal Medicine
|
Gabbitas
|
Kathy |
ACO Board Member
|
14.3%
|
Medicare Beneficiary Representative
|
N/A
|
Key ACO Clinical and Administrative Leadership:
ACO Executive: Michelle McOmber
Medical Director: Brian Zehnder, MD
Compliance Officer: Amanda Waid
Quality Assurance/Improvement Officer: Jeffrey Ogden, MD
Associated Committees and Committee Leadership:
Committee Name
|
Committee Leader Name and Position
|
Finance, Performance, Compliance
|
Dee Allred, MD, Chair
|
Clinical Performance
|
Brian Zehnder, MD, Chair
|
Quality Assurance
|
Jeffrey Ogden, MD, Chair
|
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- Network of individual practices
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Second Agreement Period
- Performance Year 2022, $0
- Performance Year 2021, $ 3,107,077
- First Agreement Period
- Performance Year 2020, $ 2,308,656
- Performance Year 2019, $ 1,718,120
- Performance Year 2018, $ 2,204,568
Shared Savings Distribution:
- Second Agreement Period
- PerformanceYear 2022
- Proportion invested in infrastructure: NA%
- Proportion invested in redesigned care processes/resources: NA%
- Proportion of distribution to ACO participants: NA%
- PerformanceYear 2021
- Proportion invested in infrastructure: 12.5 %
- Proportion invested in redesigned care processes/resources: 12.5 %
- Proportion of distribution to ACO participants: 75 %
- First Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 12.5 %
- Proportion invested in redesigned care processes/resources: 12.5 %
- Proportion of distribution to ACO participants: 75 %
- Performance Year 2019
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 80 %
- Performance Year 2018
- Proportion invested in infrastructure: 10 %
- Proportion invested in redesigned care processes/resources: 10 %
- Proportion of distribution to ACO participants: 80 %
Quality Performance Results
2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface
Measure # |
Measure Name |
Collection Type |
Rate |
ACO Mean |
CAHPS-1 |
Getting Timely Care, Appointments, and Information |
CAHPS for MIPS Survey |
87.06 |
83.96 |
CAHPS-2 |
How Well Providers Communicate |
CAHPS for MIPS Survey |
94.5 |
93.47 |
CAHPS-3 |
Patient’s Rating of Provider |
CAHPS for MIPS Survey |
92.76 |
92.06 |
CAHPS-4 |
Access to Specialists |
CAHPS for MIPS Survey |
76.26 |
77.00 |
CAHPS-5 |
Health Promotion and Education |
CAHPS for MIPS Survey |
65.82 |
62.68 |
CAHPS-6 |
Shared Decision Making |
CAHPS for MIPS Survey |
61.58 |
60.97 |
CAHPS-7 |
Health Status and Functional Status |
CAHPS for MIPS Survey |
71.47 |
73.06 |
CAHPS-11 |
Stewardship of Patient Resources |
CAHPS for MIPS Survey |
27.91 |
25.62 |
CAHPS-9 |
Courteous and Helpful Office Staff |
CAHPS for MIPS Survey |
93.92 |
91.97 |
CAHPS-8 |
Care Coordination |
CAHPS for MIPS Survey |
85.64 |
85.46 |
479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups |
Administrative Claims |
0.1374 |
0.151 |
484 |
Clinician and Clinician Group Risk- standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions |
Administrative Claims |
26.84 |
30.97 |
318 |
Falls: Screening for Future Fall Risk |
CMS Web Interface |
90.55 |
87.83 |
110 |
Preventative Care and Screening: Influenza Immunization |
CMS Web Interface |
73.1 |
77.34 |
226 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
CMS Web Interface |
76.19 |
79.27 |
134 |
Preventative Care and Screening for Depression and Follow-up Plan |
CMS Web Interface |
75.66 |
76.97 |
113 |
Colorectal Cancer Screening |
CMS Web Interface |
73.74 |
75.32 |
112 |
Breast Cancer Screening |
CMS Web Interface |
78.31 |
78.07 |
438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
CMS Web Interface |
83.64 |
86.37 |
370 |
Depression Remission at Twelve Months |
CMS Web Interface |
20 |
16.03 |
001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control |
CMS Web Interface |
8.68 |
10.71 |
236 |
Controlling High Blood Pressure |
CMS Web Interface |
70.11 |
76.16 |
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov