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

Vice Chair & Interim Chair

1

ACO Participant Representative

Vantage Radiology & Diagnostic Services, P.S.

Kierum, MD

Calvin (Cal)

Secretary

1

ACO Participant Representative

Multicare Health System

Kramp, MD

Stephen

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 2018, $2,773,357

Shared Savings Distribution

  • First Agreement Period
    • 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

2018 Quality Performance Results: 

ACO#Measure NameRateACO Mean
 ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 82.27 86.14
 ACO-2 CAHPS: How Well Your Providers Communicate 92.93 93.93
 ACO-3 CAHPS: Patients' Rating of Provider 92.11 92.45
 ACO-4 CAHPS: Access to Specialists 81.10 81.50
 ACO-5 CAHPS: Health Promotion and Education 56.80 59.26
 ACO-6 CAHPS: Shared Decision Making 57.89 61.94
 ACO-7 CAHPS: Health Status/Functional Status 72.33 73.35
 ACO-34 CAHPS: Stewardship of Patient Resources 19.58 26.26
 ACO-8 Risk Standardized, All Condition Readmission 14.75 14.98
 ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission Measure (SNFRM) 17.7718.59
 ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 32.95 37.01
 ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 74.18 76.75
 ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 56.19 59.00
 ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.54 1.98
 ACO-11 Use of Certified EHR Technology 99.80 98.20
 ACO-12 Medication Reconciliation Post-Discharge 59.70 85.91
 ACO-13 Falls:  Screening for Future Fall Risk 53.68 79.73
 ACO-44 Use of Imaging Studies for Low Back Pain 75.61 64.36
 ACO-14 Preventive Care and Screening:  Influenza Immunizaion 71.36 72.71
 ACO-15 Pneumonia Vaccination Status for Older Adults 87.23 75.71
 ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 80.69 76.83
 ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 48.72 72.81
 ACO-18 Preventive Care and Screening:  Screening for Clinical Depression and Follow-up Plan 37.55 66.74
 ACO-19 Colorectal Cancer Screening 73.20 68.27
 ACO-20 Breast Cancer Screening 70.64 71.96
 ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.02 81.47
 ACO-27 Diabetes Mellitus:  Hemoglobin A1c Poor Control 12.71 15.51
 ACO-41 Diabetes:  Eye Exam 50.00 52.42
 ACO-28 Hypertension (HTN):  Controlling High Blood Pressure 73.97 73.10
 ACO-30 Ischemic Vascular Disease (IVD):  Use of Aspirin or Another Antiplatelet 93.53 88.92

 

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

Note: In the Quality Performance Results file(s) above, search for "MultiCare Connected Care, LLC" to view the quality performance results. This ACO can also be found by using the ACO ID A3631 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Yes our ACO does use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.