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Baylor Scott & White Quality Alliance Medicare Shared Savings Public Reporting

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

Baylor University Medical Center

N

HealthTexas Provider Network

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

Other

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

Other

N/A

Mohanakrishnan

Sathyamoorthy

MD, Voting Member

1

Other

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 Com​mittees 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

    Breast Cancer Screening

    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.
























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