ACO Name and Location
Covenant ACO, Inc.
Previous Legal Business Entity Name: Covenant Health Partners, Inc.
3615 19th St
Lubbock, Texas 79410
ACO Primary Contact
Primary Contact Phone Number
Primary Contact Email Address
Organizational Information
ACO participants:
|
ACO Participants
|
ACO Participant in Joint Venture (Enter Y or N)
|
|
Lubbock Medical Associates
|
N
|
|
C. Michel Oliva, M.D. Pa
|
Y
|
|
Womens Health Llp
|
N
|
|
Grace Clinic of Lubbock
|
Y
|
|
Family First Healthcare Of Lubbock Llc
|
N
|
|
Justin McCarthy, MD, PA
|
N
|
|
West Texas Digestive Disease Center Pa
|
N
|
|
Ronnelle S Burley Pa
|
N
|
|
Lubbock Nephrology Associates, PA
|
N
|
|
Sergio Lara, MD, PA
|
N
|
|
High Plains Radiation Investments, LLC
|
N
|
|
Ear Nose and Throat Associates of Lubbock, PA
|
Y
|
|
High Plains Radiation Oncology, LLC
|
N
|
|
Priscilla Snodgrass
|
N
|
|
Elias Ghandour, MD
|
N
|
|
Frank Ryburn
|
N
|
|
Christopher Rose
|
N
|
|
Kirk J Tiemann, MD, PA
|
N
|
|
Cathy Malouf, MD
|
N
|
|
John Streit, MD, PA
|
N
|
|
James Gage
|
N
|
|
Family Foot And Ankle Care Pllc
|
N
|
|
Robert Ordonez, MD, PA
|
N
|
|
Kim Pershall, MD, PA
|
Y |
|
Ronnelle Burley
|
N
|
|
Hal Green
|
N
|
|
Lehman Dermatology Clinic, PA
|
N
|
|
Kumarapillai Narendran, MD
|
N
|
|
Lakhu Rohra
|
N
|
|
Frank M Ryburn III, MD
|
N
|
|
Samuel Hale
|
N
|
|
Manoj Khandheria MD
|
N
|
|
Alan D Row MD PA
|
N
|
|
William Boothe
|
N
|
|
Lubbock Digestive Disease Associates
|
N
|
|
Lubbock Kidney Blood Pressure Clinic PA
|
N
|
|
Samuel Spikes
|
N
|
|
METHODIST HOSPITAL LEVELLAND
|
N
|
|
Associates For Pain Management P.A.
|
N
|
|
CSK Medical Partners
|
Y
|
|
Schwarzentraub Foot Clinic, PC
|
N
|
|
Elias Ghandour Pa
|
N
|
|
METHODIST HOSPITAL, PLAINVIEW, TEXAS
|
N
|
|
William A. Shaver, MD, PA
|
N
|
|
Kim E Pershall Md Pa
|
Y
|
|
John E Streit Md Pa
|
Y
|
|
Neurosurgical Associates, LLP
|
N
|
|
James J Boop, MD, PA
|
Y
|
|
Covenant Medical Group
|
Y
|
|
West Texas Eye P A
|
Y
|
|
Lubbock Dermatology
|
N
|
|
Lubbock Diagnostic Radiology, L.L.P.
|
Y
|
|
Lubbock Surgical Associates LLP
|
Y
|
|
Arthritis & Osteoporosis Associates, LLP
|
N
|
|
Christopher R. Rose, MD, PA
|
N
|
|
Lubbock Primary Care, PLLC
|
N
|
|
Owen Health Group, PLLC
|
N
|
|
Rodney T Franklin MD PA
|
Y
|
|
Susan Robertson Devine 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
|
|
Rose
|
Christopher
|
Chair
|
0
|
ACO Participant Representative
|
Christopher R. Rose, MD, PA
|
|
Snodgrass
|
Brad
|
Vice Chair
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Backlund
|
Amanda
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Blan
|
David
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Devine
|
Susan
|
Member
|
1
|
ACO Participant Representative
|
Susan Devine, MD
|
|
Ferguson
|
Angela
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Fitz
|
Juan
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Gray
|
David
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Henderson
|
Richard
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Hensal
|
Frederick
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Kadiyala
|
Srinivas
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Kensing
|
Kelly
|
Member
|
1
|
ACO Participant Representative
|
Lubbock Digestive Disease Associates
|
|
Mangold
|
David
|
Member
|
1
|
ACO Participant Representative
|
Lubbock Surgical Associates, LLP
|
|
Patel
|
Nilesh
|
Member
|
1
|
ACO Participant Representative
|
Covenant Medical Group
|
|
Rohra
|
Lakhu
|
Member
|
1
|
ACO Participant Representative
|
Lakhu J. Rohra, MD
|
|
Wilks
|
Brenda
|
Member
|
1
|
Medicare Beneficiary Representative
|
N/A
|
Key ACO clinical and administrative leadership:
Quality Assurance/Improvement Officer
Associated committees and committee leadership:
Committee Leader Name and Position
Population Health Committee
Quality & Performance Committee
Dr. Frederick Hensal, Chair
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
-
Second Agreement Period
- Performance Year 2017, $282, 266
-
First Agreement Period
- Performance Year 2016, $2,659,327
- Performance Year 2015, $0
- Performance Year 2014, $2,542,945
Shared Savings Distribution
-
Second Agreement Period
-
Performance Year 2017
- Proportion invested in infastructure: 25%
- Proportion invested in redesigned care processes/resources: 8%
- Proportion of distribution to ACO participants: 66%
-
First Agreement Period
-
Performance Year 2016
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 8%
- Proportion of distribution to ACO participants: 66%
-
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
-
Performance Year 2014
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
Quality Performance Results
2017 Quality Performance Results:
|
ACO#
|
Measure Name
|
Rate
|
ACO Mean
|
|
ACO-1
|
CAHPS: Getting Timely Care, Appointments, and Information
|
84.42
|
80.60
|
|
ACO-2
|
CAHPS: How Well Your Providers Communicate
|
93.67
|
93.13
|
|
ACO-3
|
CAHPS: Patients’ Rating of Provider
|
93.90
|
92.31
|
|
ACO-4
|
CAHPS: Access to Specialists
|
85.69
|
83.32
|
|
ACO-5
|
CAHPS: Health Promotion and Education
|
59.86
|
62.30
|
|
ACO-6
|
CAHPS: Shared Decision Making
|
77.53
|
75.85
|
|
ACO-7
|
CAHPS: Health Status/Functional Status
|
71.21
|
73.05
|
|
ACO-34
|
CAHPS: Stewardship of Patient Resources
|
31.46
|
25.68
|
|
ACO-8
|
Risk Standardized, All Condition Readmission
|
14.85
|
15.01
|
|
ACO-35
|
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
|
18.37
|
18.46
|
|
ACO-37
|
All-Cause Unplanned Admissions for Patients with Heart Failure
|
74.18
|
79.16
|
|
ACO-38
|
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
|
57.83
|
61.74
|
|
ACO-43
|
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality
Indicator (PQI #91))
|
1.80
|
1.93
|
|
ACO-11
|
Use of Certified EHR Technology
|
100.00
|
98.48
|
|
ACO-12
|
Medication Reconciliation
|
80.06
|
75.32
|
|
ACO-13
|
Falls: Screening for Future Fall Risk
|
71.53
|
74.38
|
|
ACO-44
|
Imaging Studies for Low Back Pain
|
62.50
|
67.32
|
|
ACO-14
|
Preventive Care and Screening: Influenza Immunization
|
76.46
|
72.52
|
|
ACO-15
|
Pneumonia Vaccination Status for Older Adults
|
70.15
|
72.92
|
|
ACO-16
|
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
|
90.23
|
70.69
|
|
ACO-17
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
90.63
|
90.48
|
|
ACO-18
|
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
|
65.77
|
61.98
|
|
ACO-19
|
Colorectal Cancer Screening
|
62.46
|
64.58
|
|
ACO-20
|
Breast Cancer Screening
|
81.23
|
70.05
|
|
ACO-42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
75.66
|
79.89
|
|
ACO-27
|
Diabetes Mellitus: Hemoglobin A1c Poor Control
|
25.78
|
16.74
|
|
ACO-41
|
Diabetes: Eye Exam
|
63.76
|
50.37
|
|
ACO-28
|
Hypertension (HTN): Controlling High Blood Pressure
|
60.55
|
71.47
|
|
ACO-30
|
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
|
90.68
|
86.86
|
Please note, the ACO-40 Depression Remission at 12 months quality measure
is not included in public reporting due to low samples.
Note: In the Quality Performance Results file(s) above, search for “Covenant
ACO, Inc.” to view the quality performance results. This ACO can
also be found by using the ACO ID A07425 in the public use files on data.cms.gov.
Payment Rule Waivers
-
Yes, our ACO does use the SNF 3-Day Rule Waiver and has entered into Post-Acute
Care Affiliate Agreements with the following Skilled Nursing Facilities
- Carillon LifeCare Community
- Crown Point Health Suites
- Garrison Nursing Home and Rehabilitation Center
- The Plaza at Lubbock