ACO Public Reporting

Rocky Mountain ACO (RMACO) will access and provide clinical and technical resources including advanced information technology, data analytics, and other tools to facilitate care coordination and to expedite network implementation and success. By working together, the RMACO network of participating providers can implement these and other systems more efficiently and in a more coordinated manner than individual providers could on their own.

ACO Name and Location

Rocky Mountain Accountable Care Organization, LLC
Previous Names: N/A
715 Horizon Drive
Suite 485
Grand Junction, CO 81506

ACO Primary Contact

Primary Contact Name Marguerite Tuthill
Primary Contact Phone Number 970-986-3676
Primary Contact Email Address info@communitycarealliance.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
THE MEMORIAL HOSPITAL N
GRAND RIVER HOSPITAL DISTRICT N
MOUNTAIN FAMILY HEALTH CENTERS N
NEW CASTLE FAMILY HEALTH PC N
RANGELY HOSPITAL DISTRICT N
Eastern Rio Blanco County Health N
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 N
Public Hospital District No 1 Of Mason County N
Jefferson County Public Hospital District No 2 N
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 N
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO1 N

 

 

 

 

 

ACO governing body:

Member Member’s Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Harman Ken Chair 1 ACO Participant Eastern Rio Blanco County Health
Wilbur Tom Vice Chair 1 ACO Participant PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Coombs Jim Secretary 1 ACO Participant GRAND RIVER HOSPITAL DISTRICT
Hiebert Leslie Treasurer 1 ACO Participant KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO1
Greenwood Holly Member 1 Community Representative N/A
Heckert, MD Anneliese Member 1 ACO Participant MOUNTAIN FAMILY HEALTH CENTERS
Trantow George Member 1 Community Representative N/A
Dunham Diane Member 1 Medicare Beneficiary N/A
Goshe Nick Member 1 ACO Participant RANGELY HOSPITAL DISTRICT
Moore, DNP Tammy Member 1 ACO Participant GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Davison Paula Member 1 ACO Participant THE MEMORIAL HOSPITAL
Moll Eric Member 1 ACO Participant Public Hospital District No 1 Of Mason County
Mattern, MD Joe Member 1 ACO Participant Jefferson County Public Hospital District No 2

 

Key ACO clinical and administrative leadership:

Connie Mack ACO Executive
Gregg Davis, MD Medical Director
Martie Ross Compliance Officer
Marguerite Tuthill Compliance Officer
Shauna Arithson Quality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Finance and Audit Committee Leslie Hiebert, Chair
Clinical Integration Committee Gregg Davis, MD, Chair
Corporate Compliance Committee Nick Goshe, Chair

 

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

  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $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

 

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.34 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.40 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.97 92.31
ACO-4 CAHPS: Access to Specialists 83.54 83.32
ACO-5 CAHPS: Health Promotion and Education 58.47 62.30
ACO-6 CAHPS: Shared Decision Making 79.27 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.63 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 23.68 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.37 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.84 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 46.66 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 79.19 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.85 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.85 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 100.00 75.32
ACO-13 Falls: Screening for Future Fall Risk 36.70 74.38
ACO-44 Imaging Studies for Low Back Pain 73.08 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 65.14 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 68.68 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 32.24 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.26 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 39.89 61.98
ACO-19 Colorectal Cancer Screening 56.60 64.58
ACO-20 Breast Cancer Screening 64.87 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.42 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.72 16.74
ACO-41 Diabetes: Eye Exam 46.28 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 67.41 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 92.80 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 “Rocky Mountain Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A76184 in the public use files on data.cms.gov.

Payment Rule Waivers

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

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