ACO Name and Location
CHI St. Luke's Health Network, LLC
6624 Fannin, Suite 1100, Houston, TX 77030
ACO Primary Contact
Megan Harkey
512-433-9051
Megan.Harkey@CommonSpirit.org
Organizational Information
ACO participants:
ACO Participants
|
ACO Participant in Joint Venture (Enter Y or N)
|
Adnan Afzal, Md, PA
|
N
|
Angiocardiac Care of Texas, PA
|
N
|
Baylor College of Medicine
|
N
|
Baylor St Lukes Medical Group
|
N
|
Comprehensive Cardiovascular Care of the Woodlands, PA
|
N
|
Conrado J Ordonez, MD PA.
|
N
|
Cyfair Headache and Neurological Clinic
|
N
|
Fred Bakht, MD PA
|
N
|
Houston Southwest Colon & Rectal Clinic, PLLC
|
N
|
Houston Neurocare, PA
|
N
|
Inpatient Infectious Disease Consultants
|
N
|
Karan S Bhalla, MD PLLC
|
N
|
LeCure Family Practice, PA
|
N
|
Lockhart Medical Services, PA
|
N
|
Medical Clinic of Bellaire, PA
|
N
|
Pasadena Surgical Association
|
N
|
Pulmonary Critical Care And Sleep Medicine Consultants, LLP
|
N
|
SF Hartley DPM PC
|
N
|
Sim Family Clinic, PA
|
N
|
Naureen Alim, MD, PLLC
|
N
|
Texas Avenue Medical Clinic
|
N
|
The Center For Family Medicine Wellness & Aesthetics, PA
|
N
|
The Schrader Clinic, PA
|
N
|
Capital Infectious Diseases Associates
|
N
|
William Burns
|
N
|
Yai-Yun Cheng, MD
|
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
|
Bigler
|
Peter
|
Physician
|
1 vote
|
ACO Participant
|
Baylor St. Luke's Medical Group
|
Lembcke
|
Bradley
|
CMO
|
1 vote
|
ACO Participant
|
Baylor St. Luke's Medical Group
|
McDeavitt
|
James
|
Chair
|
1 vote
|
ACO Participant
|
Baylor College of Medicine
|
Markos
|
Ferenc
|
Physician
|
1 vote
|
ACO Participant
|
Baylor College of Medicine
|
Zoorob
|
Roger
|
Physician
|
1 vote
|
ACO Participant
|
Baylor College of Medicine
|
Roper
|
Margaret
|
Voting Member
|
1 vote
|
ACO Participant
|
Baylor College of Medicine
|
Spatz
|
Edward
|
Medicare Beneficiary
|
1 vote
|
Community Stakeholder
|
n/a
|
Key ACO clinical and administrative leadership:
ACO Executive: Megan Harkey
Medical Director: Bradley Lembcke, MD
Compliance Officer: Christy Knox
Quality Assurance/Improvement Officer: Tracy Maddox
Associated committees and committee leadership:
Committee Name |
Committee Leader Name and Position |
N/A
|
|
Types of ACO participants, or combinations of participants, that formed the ACO:
- Hospital employing ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Second Agreement Period
- Performance Year 2020, $8,512,151
- Performance Year 2019, $4,996,168
- Performance Year 2018, $0
- First Agreement Period
- Performance Year 2017, $0
- Performance Year 2016, $0
- Performance Year 2015, $0
Shared Savings Distribution
- Second Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 36.02%
- Proportion invested in redesigned care processes/resources: 26.13%
- Proportion of distribution to ACO participants: 37.85%
- Performance Year 2019
- Proportion invested in infrastructure: 56.66%
- Proportion invested in redesigned care processes/resources: 0.00%
- Proportion of distribution to ACO participants: 43.34%
- Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- 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
- Performance Year 2015
- 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
2020 Quality Performance Results:
ACO#
|
Measure Name
|
Rate
|
ACO Mean
|
ACO-13
|
Falls: Screening for Future Fall Risk
|
98.30
|
84.97
|
ACO-14
|
Preventive Care and Screening: Influenza Immunization
|
74.38
|
76.03
|
ACO-17
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
91.67
|
81.67
|
ACO-18
|
Preventive Care and Screening: Screening for Depression and Follow-up Plan
|
76.52
|
71.46
|
ACO-19
|
Colorectal Cancer Screening
|
75.38
|
72.59
|
ACO-20
|
Breast Cancer Screening
|
71.25
|
74.05
|
ACO-42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
85.06
|
83.37
|
ACO-27
|
Diabetes: Hemoglobin A1c Poor Control (>9%)
|
14.88
|
14.70
|
ACO-28
|
Controlling High Blood Pressure
|
71.10
|
72.87
|
For Previous Years’ Financial and Quality Performance Results, Visit data.cms.gov
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.
Fraud and Abuse Waivers
ACO Pre-Participation Waiver: