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Accountable Care Organization: Medicare2020-05-26T08:13:27-06:00

ACO Name and Location

Community Health Provider Alliance
Previous Names: N/A
600 Grant Street
Suite 800
Denver, CO 80203

ACO Primary Contact

Primary Contact Name Joseph Berry
Primary Contact Phone Number 303-867-9522
Primary Contact Email Address joseph@chpanetwork.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Summit Community Care Clinic Inc  N
Metro Community Provider Network Inc  N
Southwest Colorado Mental Health Center Inc  N
NORTHWEST COLORADO VISITING NURSE ASSOCIATION  N
SUNRISE COMMUNITY HEALTH  N
PLAN DE SALUD DEL VALLE, INC.  N
DOLORES COUNTY HEALTH ASSOCIATION  N
Valley-Wide Health Systems, Inc  N
Clinica Campesina Family Health Services  N
PUEBLO COMMUNITY HEALTH CENTER INC.  N
MARILLAC CLINIC, INC.  N
HIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED  N
REGENTS OF THE UNIVERSITY OF COLORADO  N
PEAK VISTA COMMUNITY HEALTH CENTERS  N
LA CLINICA TEPEYAC, INC  N

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
Santistevan John President 1 ACO Participant Representative Plan de Salud Del Valle, Inc
Smith Simon Vice President 1 ACO Participant Representative Clinica Campesina Family Health
Sandvik Mark Treasuer 1 ACO Participant Representative Northwest Colorado Visiting Nurse Association
Moore Donald Secretary 1 ACO Participant Representative Pueblo Community Health Center Inc.
Arnoldi Jania Voting Member 1 ACO Participant Representative Valley-Wide Health Systems
Ramachandran Kay Voting Member 1 ACO Participant Representative Marillac Clinic
Scott Debra Voting Member 1 ACO Participant Representative Sunrise Community Health
Wiederholt Ben Voting Member 1 ACO Participant Representative Metro Community Provider Network Inc
McManus Pam Voting Member 1 ACO Participant Representative Peak Vista Community Health Centers
Meyers Dave Medicare Beneficiary Board Member 1 Medicare Beneficiary Representative N/A

Key ACO Clinical and Administrative Leadership:

Kerry Cogan ACO Executive
Crystal Owens Medical Director
Kerry Cogan Compliance Officer
Joseph Berry Compliance Officer
Rosario Morales Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
MSSP Operations Committee Crystal Owens, MD (Chair)
Clinical Committee Jessica Sanchez (Clinical Chair)
Fiscal Committee Kristin Laux (Chair)
Billing Workgroup Rosario Morales (Chair)

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

  • Federally Qualified Health Center (FQHC)
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $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

Quality Performance Results

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 75.38 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 91.69 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 88.32 92.45
ACO-4 CAHPS: Access to Specialists 75.34 81.50
ACO-5 CAHPS: Health Promotion and Education 64.50 59.26
ACO-6 CAHPS: Shared Decision Making 57.96 61.94
ACO-7 CAHPS: Health Status/Functional Status 74.61 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 30.97 26.26
ACO-8 Risk-Standardized, All Condition Readmission 14.81 14.98
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 16.88 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 40.23 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 76.03 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 60.53 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.83 1.98
ACO-11 Use of Certified EHR Technology 96.56 98.20
ACO-12 Medication Reconciliation 33.33 85.91
ACO-13 Falls: Screening for Future Fall Risk 25.81 79.73
ACO-44 Imaging Studies for Low Back Pain 68.75 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 59.63 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 72.98 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 92.07 76.83
ACO-17 Preventive Care and Screening:
Tobacco Use: Screening and Cessation Intervention		 84.62 72.81
ACO-18 Preventive Care and Screening:
Screening for Clinical Depression and Follow-up Plan		 88.00 66.74
ACO-19 Colorectal Cancer Screening 57.06 68.27
ACO-20 Breast Cancer Screening 55.19 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.63 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 23.37 15.51
ACO-41 Diabetes: Eye Exam 27.47 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 76.25 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 88.44 88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

Note: In the Quality Performance Results file(s) above, search for “Community Health Provider Alliance” to view the quality performance results. This ACO can also be found by using the ACO ID A3477 in the public use files on data.cms.gov.

Payment Rule Waivers

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