CHI St. Luke's Health Network (ACO)

Shared Savings Program The Centers for Medicare & Medicaid Services (CMS) has established a Medicare Shared Savings Program (Shared Savings Program) to facilitate coordination and cooperation among providers to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and reduce unnecessary costs. Eligible providers, hospitals, and suppliers may participate in the Shared Savings Program by creating or participating in an Accountable Care Organization (ACO). The Shared Savings Program is designed to improve beneficiary outcomes and increase value of care by: Promoting accountability for the care of Medicare FFS beneficiaries Requiring coordinated care for all services provided under Medicare FFS Encouraging investment in infrastructure and redesigned care processes The Shared Savings Program will reward ACOs that lower their growth in health care costs while meeting performance standards on quality of care and putting patients first. Participation in an ACO is purely voluntary.

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ACO Name and Location

CHI St. Luke's Health Network, LLC
Previous Names: N/A
6624 Fannin
Suite 1100
Houston, TX 77030

ACO Primary Contact

Primary Contact Name

Michael Camacho

Primary Contact Phone Number

(817)965-8030

Primary Contact Email Address

mcamacho@stlukeshealth.org

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Center for Pulmonary and Sleep Disorders

N

Bernardino Flores Abaya

N

Kevin M. Moran, MD

N

Abraham G. Thomas, M.D., P.A.

N

Northside Gastroenterology Associates

N

Timothy J. Sehorn, MD, PA.

Y

David H. Korfin DPM PA

N

Pulmonary Critical Care And Sleep Medicine Consultants, Llp

Y

Medical Clinic of Bellaire

Y

Brain & Spine Clinic

N

Northwest Colon & Rectal Surgery, P.A.

N

Texas Family Medicine Center, PA

Y

The Center For Family Medicine Wellness & Aesthetics Pa

Y

Adnan Afzal, Md, Pa

Y

Lockhart Medical Services PA

Y

Namieta M. Janssen MDP LLC

Y

Jason DeMattia, MD, PA

Y

Center For Spine, Sports And Rehabilitation Excellence Pa

N

Vicki Carr Md Pa

N

Naureen Alim, MD, PLLC

N

Woodlands Heart And Vascular Institute Pa

N

Inpatient Infectious Disease Consultants

Y

Kidney Specialists Of North Houston

N

Capital Infectious Diseases Associates

N

Allergy Rheumatology Specialists of Houston

N

Baylor College of Medicine

Y

Comprehensive Cardiovascular Care of the Woodlands, PA

Y

Michael J. Streitmann MD PA

N

Carlos Araujo Preza

N

The Schrader Clinic

Y

LeCure Family Practice PA

Y

William Burns

Y

Fred Bakht Md Pa

Y

Spring Creek Urology Specialists LLC

N

Karan S. Bhalla MDP LLC

Y

East Texas Clinical Services, Inc.

N

Center For Spine Sports And Physical Medicine P.A.

N

Yaiyun Cheng

Y

Wilson Hand Surgery PLLC

N

Houston Southwest Colon & Rectal Clinic PLLC

Y

John Berry

Y

Sam Houston Heart & Vascular Center PLLC

N

Michelle Cunningham MD

Y

Cyfair Headache and Neurological Clinic

Y

Geetha Subramanyam

N

Nigro Dermatology Group PA

N

Irving J. Fishman MD PA

N

Sim Family Clinic, P.A.

Y

Vincent Virgadamo MD PA

N

Cesar A. Andino, M.D. P.A.

N

Padma R. Kumashi MD PA

N

Michael Arnold, M.D., P.A.

Y

Thang Hoang, MD PA

N

Aphado Eye Care Llp

N

SF Hartley DPM PC

Y

Angiocardiac Care of Texas

Y

Brian C Douglas Md Pa

Y

Texas Gastro Consultants Pa

N

M Sandra Scurria, MD

N

Marc N Stock

N

Baylor St Lukes Medical Group

Y

Pasadena Surgical Association

Y

John C Sparks MD PA

Y

Judith T Feigon Md Pa

N

Houston Neurocare PA

Y

Chernosky Dermatological Associates

N

Conrado J. Ordonez MD PA

Y

David T. Le MD

N

Asif Cochinwala MD

N

Ata Ahmad MD PA

N

Shabbir Husain Jamali MD PA

N

Kidney Center of North Houston

N

Liver Associates of Texas PA

N

Houston Internal Medicine Associates PA

N

Darren M Chapman MD PLLC

Junaid A. Khan MD PA

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

Steinbauer

Jeffrey

CMO/Chair

1 vote

ACO Participant

Baylor College of Medicine

McDeavitt

James

CIO

1 vote

ACO Participant

Baylor College of Medicine

Rosengart

Todd

Physician

1 vote

ACO Participant

Baylor College of Medicine

Zoorob

Roger

Physician

1 vote

ACO Participant

Baylor College of Medicine

Bigler

Peter

Physician

1 vote

ACO Participant

Baylor St. Luke's Medical Group

DeMattia

Jason

Physician

1 vote

ACO Participant

Texas Family Medicine Center, PA

Sherwood

Ann

Medicare Beneficiary

1 vote

Community Stakeholder

n/a

Key ACO clinical and administrative leadership:

Michael Camacho

ACO Executive

Jeffrey Steinbauer

Medical Director

Christi Knox

Compliance Officer

Tracy Maddox

Quality Assurance/Improvement Officer

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 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 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

2018 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

81.65

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

93.66

93.93

ACO-3

CAHPS: Patients' Rating of Provider

91.92

92.45

ACO-4

CAHPS: Access to Specialists

82.04

81.50

ACO-5

CAHPS: Health Promotion and Education

56.24

59.26

ACO-6

CAHPS: Shared Decision Making

60.10

61.94

ACO-7

CAHPS: Health Status/Functional Status

73.46

73.35

ACO-34

CAHPS: Stewardship Patient Resources

28.10

26.26

ACO-8

Risk-Standardized, All Condition Readmission

15.27

14.98

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

20.06

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

35.49

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

75.32

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

57.48

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.82

1.98

ACO-11

Use of Certified EHR Technology

99.14

98.20

ACO-12

Medication Reconciliation

96.08

85.91

ACO-13

Falls: Screening for Future Fall Risk

68.73

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

64.29

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

72.13

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

73.21

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

81.61

76.83

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

82.76

72.81

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

42.44

66.74

ACO-19

Colorectal Cancer Screening

63.00

68.27

ACO-20

Breast Cancer Screening

66.38

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.53

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

18.65

15.51

ACO-41

Diabetes: Eye Exam  

50.40

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

71.00

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

90.37

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 “CHI St. Luke's Health Network, LLC” or “Baylor St. Luke's Health Network ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A2710 in the public use files on data.cms.gov.

Payment Rule Waivers

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





For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.