Antelope Valley ACO, Inc.

Public Reporting

ACO Name and Location

Antelope Valley ACO, Inc.

44215 15th Street West #115

Lancaster, California 93534

ACO Primary Contact

Cessy Martinez, LVN

Operations Manager

Email: cmartinez@antelopevalleyaco.com

Phone: (661) 948-8000

Cell: (661) 349-6791

Antelope Valley ACO Participants

Alpine Medical Group | Terry Warsaw, MD

Antelope Valley Cardiology Associates
Antelope Valley Lung Institute
Bryan C Benefiel, MD Inc.
Chikkiah Padmanabhan, MD
Desilva Medical Inc.
Doddanna Krishna | A Prof Corp.
Ernest Medical Corp.

Garrison Family Medical Group
Gonzalo Gonzalez Martinez
High Desert Gastroenterology Inc.
K. Sivakumar, MD Inc.
Kanwaljit S. Gill
Kumar Medical Corporation
Lancaster Rheumatology And Osteoporosis Center

Pradeep K. Singh, MD Inc.
Patalappa Chandrashekar, MD Inc.
Ranjiv Choudhary
Ravi S. Shankar, MD

Reen, Amikjit | Reen Medical Group
Richard Kling, MD
Russell M. Greif, DO
Satyanarayana Dandamudi, MDA

Sierra Family Care, Kim Horowitz, MD
Sierra Gastroenterology
Vinay Sunku, MD Inc.

Young J. Ko, MD | A Medical Corporation

Antelope Valley ACO Governing Body

Pamela Desilva, MD

ACO Participant and Voting Member

Satya Dandamudi, MD

Voting Member and ChairmanDesilva Medical, Inc.

Ric Garrison, MD

ACO Participant and Voting Member

Garrison Family Medical Group

Russell Greif, MD

Secretary

Russell M. Greif, DO

Pramod Kadambi, MD

ACO Participant and Voting Member

Antelope Valley Cardiology Associates

Doddanna Krishna, MD

ACO Participant and Voting Member

Doddanna Krishna, MD

A Professional Corporation

Gonzalo Martinez, MD

ACO Participant and Voting Member

Joshua Medical Group

Ravi Shankar, MD

Medical Director | President

Ravi Shankar, MD, Inc.

Kumarasamy Sivakumar, MD

Treasurer

K. Sivakumar, MD, Inc.

Vinay Sunku, MD

ACO Participant and Voting Member

Vinay A Sunku, MD, Inc

Mrs. Fran Hayes-Bodkin

Voting Member

Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership
Name	Title
Ravi Shankar, MD	ACO Executive
Ravi Shankar, MD	Medical Director
Vivek Radhakrishnan	Compliance Officer
Doddana Krishna	Quality Assurance & Improvement

Committee Leadership
Name	Title
Russell Greif, MD–Chair	Compliance and Credentialing
Doddanna Krishna, MD–Chair	Quality Assurance & Improvement
Satya Dandamudi, MD–Chair	Utilization
Pramod Kadambi, MD–Chair	Finance

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

Networks of Individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

• First Agreement Period

Performance Year 2016: $1,532,938
Performance Year 2015: $1,398,168
Performance Year 2014: $0

Shared Savings Distribution

• First Agreement Period

Performance Year 2016
Proportion Invested in Infrastructure: 30%
Proportion Invested in Redesigned Care Processes/Resources: 0%
Proportion of Distribution to ACO Participants: 70%

Performance Year 2015
Proportion Invested in Infrastructure: 20%
Proportion Invested in Redesigned Care Processes/Resources: 0%
Proportion of Distribution to ACO Participants: 80%

Performance Year 2014
Proportion Invested in Infrastructure: N/A
Proportion Invested in Redesigned Care Processes/Resources: N/A
Proportion of Distribution to ACO Participants: N/A

Payment Rule Waivers

“No, our ACO does not utilize SNF 3-Day rule waiver.”

Quality Performance Results

2016 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	75.28	79.9
ACO-2	CAHPS: How Well Your Providers Communicate	89.34	92.63
ACO-3	CAHPS: Patients' Rating of Provider	90.76	91.93
ACO-4	CAHPS: Access to Specialists	84.75	83.52
ACO-5	CAHPS: Health Promotion and Education	57.62	60
ACO-6	CAHPS: Shared Decision Making	73.27	75.28
ACO-7	CAHPS: Health Status/Functional Status	67.18	71.82
ACO-34	CAHPS: Stewardship of Patient Resources	20.98	27.52
ACO-8	Risk-Standardized, All Condition Readmission	14.95	14.7
ACO-35	Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)	18.44	18.17
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	57.24	53.2
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	78.34	75.23
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	63.18	59.81
ACO-9	Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)	9.61	9.27
ACO-10	Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )	17.16	14.53
ACO-11	Percent of PCPs who Successfully Meet Meaningful Use Requirements	33.33	82.72
ACO-39	Documentation of Current Medications in the Medical Record	98.65	87.54
ACO-13	Falls: Screening for Future Fall Risk	45.08	64.04
ACO-14	Preventive Care and Screening: Influenza Immunization	57.52	68.32
ACO-15	Pneumonia Vaccination Status for Older Adults	45.44	69.21
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	85.51	74.45
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	92.12	90.98
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	36.06	53.63
ACO-19	Colorectal Cancer Screening	45.44	61.52
ACO-20	Breast Cancer Screening	55.3	67.61
ACO-21	Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented	85.46	76.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	76.34	77.72
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	23.78	18.24
ACO-41	Diabetes: Eye Exam	24.37	44.94
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	66.13	70.52
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	87.24	85.05
ACO-31	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	93.85	88.67
ACO-33	Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)	80	79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

Note: In the Quality Performance Results file(s) above, search for “Antelope Valley ACO, Inc” or "Antelope Valley ACO" to view the quality performance results. This ACO can also be found by using the ACO ID A01307 in the public use files on data.cms.gov.