ACO Name and Location
Baylor Quality Health Care Alliance LLC
2301 N. Washington Avenue
Dallas, TX 75246
ACO Primary Contact
Alyssa Endres Moore
214.265.3735
Alyssa.Endres@BSWHealth.org
Organizational Information
ACO Participants
|
ACO Participants
|
ACO Participant in Joint Venture (Y/N)
|
|
Baylor Heart & Vascular Center LLP
|
N
|
|
Baylor Scott & White Medical Center – Centennial
|
N
|
|
Baylor Scott & White Medical Centers – Capitol Area
|
N
|
|
Baylor All Saints Medical Center
|
N
|
|
Baylor Medical Center at Irving
|
N
|
|
Baylor Medical Center at Waxahachie
|
N
|
|
Baylor Medical Centers at Garland and McKinney
|
N
|
|
Baylor Regional Medical Center at Grapevine
|
N
|
|
Baylor Regional Medical Center at Plano
|
N
|
|
Centro médico de la Universidad Baylor
|
N
|
|
Red de proveedores de HealthTexas
|
N
|
|
Hillcrest Baptist Medical Center
|
N
|
|
Hillcrest Family Health Center
|
N
|
|
Hillcrest Physician Services
|
N
|
|
Lake Pointe Operating Company LLC
|
N
|
|
Scott & White Clinic
|
N
|
|
Scott & White Hospital - Brenham
|
N
|
|
Scott & White Hospital – College Station
|
N
|
|
Scott & White Hospital – Marble Falls
|
N
|
|
Scott & White Hospital – Round Rock
|
N
|
|
Scott & White Hospital – Taylor
|
N
|
|
Scott & White Memorial Hospital
|
N
|
|
Texas Heart Hospital of the Southwest LLP
|
N
|
ACO Governing Body
|
Member
FirstName
|
Member
LastName
|
Member
Title/Position
|
Member's Voting Power (Expressed as a percentage)
|
Membership Type
|
ACO Participant Legal Business Name, if applicable
|
|
Aval-Na’Ree
|
Green
|
MD, Voting Member
|
1
|
ACO Participant Representative
|
Scott & White Memorial Hospital
|
|
James
|
Graham
|
MD, Voting Member, Secretary
|
1
|
ACO Participant Representative
|
Hillcrest Baptist Medical Center
|
|
W. Stuart
|
Johnston
|
MD, Voting Member
|
1
|
ACO Participant Representative
|
Baylor Scott & White – Plano
|
|
Joseph
|
Kilianski
|
MD, Voting Member
|
1
|
Otro
|
N/A
|
|
Glenn
|
Ledbetter
|
MD, Voting Member, Chair
|
1
|
ACO Participant Representative
|
Baylor Scott & White Medical Center - Waxahachie
|
|
Kimberly
|
McMillin
|
MD, Voting Member, Vice Chair
|
1
|
ACO Participant Representative
|
Baylor Scott & White – Plano
|
|
Alberto
|
Parra
|
MD, Voting Member
|
1
|
Otro
|
N/A
|
|
Mohanakrishnan
|
Sathyamoorthy
|
MD, Voting Member
|
1
|
Otro
|
N/A
|
|
Suneel
|
Vallabhaneni
|
MD, Voting Member
|
1
|
ACO Participant Representative
|
Scott & White Memorial Hospital
|
|
Clarence
|
Miller
|
Business Consultant
|
0
|
Medicare Beneficiary Representative
|
N/A
|
Key ACO Clinical and Administrative Leadership
- ACO Executive: Jennifer Reed
- Medical Director: Dr. Mark Schnitzer
- Compliance Officer: Margaret Von Sehrwald
- Quality Assurance/Improvement Officer: Melissa Arana
Associated Committees and Committee Leadership
|
Committee Name
|
Committee Leader Name and Position
|
|
Quality Improvement Committee
|
Mike Massey MD, Chair; James Graham MD, Vice-Chair
|
|
Compliance Committee
|
Keith Newman MD, Chair
|
|
Membership and Standards Committee
|
Joseph Kilianski MD, Chair
|
Types of ACO Participants or Combinations of Participants that Formed the ACO
- 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
Third Agreement Period
- Performance Year 2021, $61,050,959
- Performance Year 2020, $47,128,683
- Performance Year 2019-A, $20,420,593
Second Agreement Period
- Performance Year 2019, $13,907,640
- Performance Year 2018, $18,761,481
First Agreement Period
- Performance Year 2017, $0
- Performance Year 2016, $0
- Performance Year 2015, $0
Shared Savings Distribution
Third Agreement Period
- Performance Year 2021:
- Proportion invested in infrastructure: 16%
- Proportion invested in redesigned care processes/resources: 42%
- Proportion of distribution to ACO participants: 42%
- Performance Year 2020:
- Proportion invested in infrastructure: 11%
- Proportion invested in redesigned care processes/resources: 45%
- Proportion of distribution to ACO participants: 44%
Second Agreement Period
Performance Year 2019
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 40%
Performance Year 2018
- Proportion invested in infrastructure: 16%
- Proportion invested in redesigned care processes/resources: 42%
- Proportion of distribution to ACO participants: 42%
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
2021 Quality Performance Results
Quality performance results are based on CMS Web Interface
|
Measure #
|
Measure Name
|
Rate
|
ACOMean
|
|
|
|
|
|
001
|
Diabetes: Hemoglobin A1c Poor Control
|
6.30
|
12.46
|
|
134
|
Preventative Care and Screening: Screening for Depression and Follow-up Plan
|
94.34
|
74.38
|
|
236
|
Controlling High Blood Pressure
|
73.87
|
74.87
|
|
318
|
Falls: Screening for Future Fall Risk
|
99.43
|
87.03
|
|
110
|
Preventative Care and Screening: Influenza Immunization
|
80.56
|
80.52
|
|
226
|
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
91.67
|
80.97
|
|
113
|
Colorectal Cancer Screening
|
81.96
|
73.63
|
|
112
|
Detección de cáncer de mama
|
83.28
|
75.11
|
|
438
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
85.20
|
84.24
|
|
321
|
CAHPS for MIPS
|
N/A
|
N/A
|
|
479
|
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups
|
14.93
|
15.40
|
|
MCC1
|
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)
|
31.45
|
33.99
|
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For previous year's Financial and Quality Performance Results, please 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.
