Public Reporting

ACO Name and Location

Southern California Integrated Care Network, LLC
Previous Names: N/A
1980 Orange Tree Lane, Suite 200
Redlands, CA 92374

ACO Primary Contact

Primary Contact Name

Kristin Rosemond, Executive Director

Primary Contact Phone Number

(626) 744-2393

Primary Contact Email Address

Kristin.Rosemond@DignityHealth.org


Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Christopher D Arnold D.O. A Medical Coorporation

N

WON JO, M.D., INC.

N

Sherif Aboseif, M.D., Inc.

N

Henry K Liao Md Incorporated

N

Brian Bai Clinic, Inc.

N

Coastal Foot Care Services, Inc

N

Kevin D. O'Reilly, D.P.M.

N

George C. Yu, MD, Inc.

N

ANDREA TIENG, M.D., INC.

N

Karandeep Singh, M.D., P.C.

N

Joan Vicente, MD

N

Ace Gastroenterology Associates, Inc

N

Redlands Podiatry Group PC

N

Theresa Enriquez, MD, Inc.

N

Donald Chen

N

Manoj Khatore

N

Gintien Huang

N

Dignity Health Medical Foundation

N

General Surgery Medical Group of Ventura County

N

Ventura County Radiation Oncology Medical Group, Inc.

N

Cardiovascular & Thoracic Surgeons Of Ventura County, Apc

N

Rose Avenue Family Medical Group A Professional Corporation

N

Yu Cheng Liao

N

Alan Lyne

N

Coastal Eye Specialists Medical Group Inc

N

Spanish Hills Medical Group, Inc.

N

Javed N. Sadiq M.D., Inc.

N

Ventura Orthopaedic Medical Group

N

Cabrillo Cardiology Med Grp

N

Neal P Dixon Md A General Surgical Med

N

Oxnard Camarillo Pulmonary And Internal Medicine Medical Group

N

Jiunn Perng

N

ACO Governing Body:
Member
Last Name First Name Title / Position Member's Voting Power Membership Type ACO Participant TIN
Legal Business
Name/DBA, if
Applicable

Arciniega

Jose

Chair of Inland Empire Advisory Committee; Voting Member

1

ACO Participant Representative

Dignity Health Medical Foundation

Deutsch

Gary

Voting Member

1

ACO Participant Representative

Dignity Health Medical Foundation

Fu

Justin

Voting Member

1

Community Stakeholder Representative

N/A

Jamal

Naser

Voting Member

1

ACO Participant Representative

Dignity Health Medical Foundation

Mescher

David

Chair of Ventura Advisory Committee, Medical Director, Voting Member

1

ACO Participant Representative

Dignity Health Medical Foundation

Mescher-Cox

Megan

Voting Member

1

ACO Participant Representative

Dignity Health Medical Foundation

Pleitez

Mauricio

Chair of the Board, Voting Member

1

ACO Participant Representative

Spanish Hills Medical Group, Inc.

Schauermann

Keith

Voting Member

1

ACO Participant Representative

Dignity Health Medical Foundation

Singh

Karandeep

Voting Member

1

ACO Participant Representative

Karandeep Singh, M.D., P.C.

Streeter

Robert

Voting Member

1

ACO Participant Representative

Dignity Health Medical Foundation

Waters

Victor

Voting Member

1

Community Stakeholder Representative

N/A

Zirnite

Susan

Voting Member

1

Medicare Beneficiary Representative

N/A

Key ACO Clinical and Administrative Leadership:

  1. Kristin Rosemond, ACO Executive
  2. David Mescher, Medical Director
  3. Christi Knox, Compliance Official
  4. David Mescher, Quality Assurance/Improvement Officer
Associated Committees and Comittee Leadership:
Committee Name Committee Leader Name and Position

Inland Empire Advisory Committee

Dr. Jose Arciniega, Chair

Ventura Advisory Committee

Dr. David Mescher, Chair

Payer Committee

Dr. Jose Mauricio Pleitez, Chair

Quality Committee

Dr. David Mescher, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:
  • ACO professionals in a group practice arrangement
  • Network of individual practices of ACO professionals
  • Partnership or joint venture arrangement between hospitals and ACO professionals
Amount of Shared Savings/Losses:
  • First Agreement Period
    • Performance Year 2017, $0
Shared Savings Distributions:
  • 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

Quality Performance Results:

2017 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.78 80.6
ACO-2 CAHPS: How Well Your Providers Communicate 94.19 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 93.23 92.31
ACO-4 CAHPS: Access to Specialists 80.63 83.32
ACO-5 CAHPS: Health Promotion and Education 58.5 62.3
ACO-6 CAHPS: Shared Decision Making 75.47 75.85
ACO-7 CAHPS: Health Status/Functional Status 70.96 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 20.97 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.02 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.91 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 50.36 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 72.12 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 55.88 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.42 1.93
ACO-11 Use of Certified EHR Technology 100 98.48
ACO-12 Medication Reconciliation 81.79 75.32
ACO-13 Falls: Screening for Future Fall Risk 81.2 74.38
ACO-44 Imaging Studies for Low Back Pain 77.01 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 68.43 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 68.7 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 65.65 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.79 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 42.96 61.98
ACO-19 Colorectal Cancer Screening 56.63 64.58
ACO-20 Breast Cancer Screening 67.25 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.08 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 21.22 16.74
ACO-41 Diabetes: Eye Exam 41.09 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 63.09 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 87.08 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 “Southern California Integrated Care Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A63633 in the public use files on https://data.cms.gov/

Payment Rule Waivers:

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