ACO - Public Reporting

Accountable Care Public Reporting Information

ACO Name and Location

MultiCare Connected Care, LLC
Previous Names: N/A
PO Box 5299 MS: 820-5-ACO
820 A Street - 5th Floor
Tacoma, WA 98415-0299

ACO Primary Contact

Primary Contact Name

Zak Ramadan-Jradi, MD, MBA

Primary Contact Phone Number

253-403-1877

Primary Contact Email Address

[email protected]

 

Organizational Information

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Allergy & Asthma Specialty Service, P.S.

N

Auburn Family Medical Center, Inc, P.S.N
Cancer Care Northwest Centers PSN
Cascade Emergency Physicians IncN

Cascade Eye & Skin Centers, P.C.

N

Cascade Surgery Associates, PLLC

N

Columbia Surgical Specialists, PSN

Concordia Star Medical LLC

N

Digestive Health Specialists, P.S.

N

Evergreen Eye Center, Inc., P.S.

N

Gastroenterology Associates PLLC

N

Inland Allergy & Asthma Associates, P.S.N

M Baghdadi

N

Mt. Rainier Emergency Physicians, PLLCN

MultiCare Health System

N

Rockwood Clinic, P.S.N

Navos

N

Northwest Gastroenterology Associates, Inc., P.S.

N

Overlake Internal Medicine Associates, P.S.

N

Pace Dermatology Associates, PLLC

N

Pacific Cataract & Laser Institute Inc P.C.

N

Pacific Nephrology Associates, P.S.

N

Pacific Otolaryngology PSN

Partner Oncology, Inc.

N

Peter Logerfo

N

PNW Eye PLLCN

Puyallup Clinic, Inc., P.S.

N

Rainier Anesthesia Associates, P.C.

N

RediClinic of WA, LLC

N

Retina Institute, PLLC

N

Robert GoldenN

Robert C. Wright, M.D., P.S.

N

Spokane Critical Care Associates, PSN
Spokane Emergency Group, A Professional LLCN
Sterling Emergency Services of Washington IncN

Tacoma Anesthesia Associates, Inc., P.S.

N

Tacoma Emergency Care Physicians, Inc., P.S.

N

Tacoma Radiological Associates, P.S.

N

The Carol Milgard Breast Center

N

Traveling Pain Management Doctors PSC

N

Trinity Family Medical Clinic PS IncN

Valerie Sutherland, M.D., PLLC

N

Valley Gastroenterology PSN

Vantage Radiology & Diagnostic Services, A Professional Services Corp

N

Viewpoint EndocrinologyN
Washington Gastroenterology PLLCN
Washington Hospitalists, PLLCN

White River Family Care, LLC

N

Woodcreek Pediatrics, PLLCN
 

ACO Governing Body:

Member

Member's Voting Power - Expressed as a percentage or number

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

 

 

 

Lund, MD, FACR

Phil

Chair

1

ACO Participant Representative

Vantage Radiology & Diagnostic Services, P.S.

Kramp, MDStephenVice Chair1ACO Participant RepresentativeMulticare Health System

Kierum, MD

Calvin (Cal)

Secretary

1

ACO Participant Representative

Multicare Health System

Baily, RN

Pat

Treasurer

1

ACO Participant Representative

MultiCare Health System

McManusJimEx Officio1Member OwnerMultiCare Health System

Carlson, DO

David

Ex Officio

1

Member Owner

MultiCare Health System

Robertson

William (Bill)

Ex Officio

1

Member Owner

MultiCare Health System

Brown, MD

Michael (Mike)

Physician Member

1

ACO Participant Representative

Rainier Anesthesia Associates, P.C.

Makari, MD

George

Physician Member

1

ACO Participant Representative

MultiCare Health System

Zhao, MD, PHD

Di

Physician Member

1

ACO Participant Representative

Pacific Nephrology Associates, P.S. 

Bailey

Pat

Medicare Beneficiary Representative

1

Medicare Beneficiary Representative

City of Auburn

Sullivan, MD

Becky

Community Liaison

0

Community Liaison

N/A

 

Key ACO Clinical Administrative Leadership:

Zak Ramadan-Jradi, MD, MBA

ACO Executive

Michael Myint, MD, MBA

Medical Director

Sara Aukerman, CPC, CPCO

Compliance Officer

Zak Ramadan-Jradi, MD, MBA

Quality Assurance/Improvement Officer


Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Network Management Committee of the Board

George Makari, MD (Chair)

Clinical Leadership Committee of the Board

Stephen Kramp, MD (Chair)

 

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2019, $5,329,365
    • Performance Year 2018, $2,773,357

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 23%
      • Proportion invested in redesigned care processes/resources: 27%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2018
      • Proportion invested in infrastructure: 21%
      • Proportion invested in redesigned care processes/resources: 29%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2019 Quality Performance Results: 

ACO#Measure NameRateACO Mean
 ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 82.56 85.86
 ACO-2 CAHPS: How Well Your Providers Communicate 92.65 94.11
 ACO-3 CAHPS: Patients' Rating of Provider 91.49 92.69
 ACO-4 CAHPS: Access to Specialists 77.25 81.54
 ACO-5 CAHPS: Health Promotion and Education 51.52 60.44
 ACO-6 CAHPS: Shared Decision Making 57.69 62.78
 ACO-7 CAHPS: Health Status/Functional Status 73.37 73.79
 ACO-34 CAHPS: Stewardship of Patient Resources 20.45 26.17
 ACO-45 CAHPS: Courteous and Helpful Office Staff 94.47 92.84
 ACO-46 CAHPS: Care Coordination 86.39 86.89
 ACO-8 Risk Standardized, All Condition Readmission 14.72 14.86
 ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 53.28 58.15
 ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.57 1.87
 ACO-13 Falls:  Screening for Future Fall Risk 76.12 84.04
 ACO-14 Preventive Care and Screening:  Influenza Immunizaion 77.59 74.77
 ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 63.41 78.04
 ACO-18 Preventive Care and Screening:  Screening for Clinical Depression and Follow-up Plan 34.70 70.40
 ACO-19 Colorectal Cancer Screening 74.52 70.76
 ACO-20 Breast Cancer Screening 76.99 73.84
 ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 89.13 82.17
 ACO-27 Diabetes:  Hemoglobin A1c Poor Control (>9%) 9.83 13.88
 ACO-28 Controlling High Blood Pressure 77.76 75.04

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.