Quality Performance Results

ACO Name and Location

Physicians Accountable Care of Utah
3725 West 4100 South
West Valley City, Utah 84120


ACO Primary Contact

Primary Contact NameMary Jane Pennington
Primary Contact Phone Number8019653777
Primary Contact Email AddressMPennington@grangermedical.com

Organizational Information

ACO Participants

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Premier Family MedicalN
Foothill Clinic, LLCN
Granger Medical Clinic, Inc.N
Ogden ClinicN
Utah Gastroenterology, P.C.N

ACO Governing Body

MemberMember’s Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
Last NameFirst NameTitle/Position
PenningtonMJChair1ACO Participant RepresentativeGranger Medical Clinic, Inc
TannerDavidVoting Member1ACO Participant RepresentativeGranger Medical Clinic, Inc
PorterKevinVoting Member1ACO Participant RepresentativeOgden Clinic
AmannKellyVoting Member1ACO Participant RepresentativeOgden Clinic
TaylorJackVoting Member1ACO Participant RepresentativeFoothill Clinic, Inc,
HoggardTimoVoting Member1ACO Participant RepresentativePremier Family Medical
MargettsMikeVoting Member1Medicare Beneficiary RepresentativeN/A

Key ACO Clinical and Administrative Leadership

Mary Jane PenningtonACO Executive
Mary Jane PenningtonMedical Director
Mary Jane PenningtonCompliance Officer
Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Quality/Clinical Policy CommitteeRoy Gandolfi, MD, Chair
Operations CommitteeTBD, Chair

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • First Agreement Period
    • 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
    • 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

Quality Performance Results

2016 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information80.4280.51
ACO-2CAHPS: How Well Your Providers Communicate93.2393.01
ACO-3CAHPS: Patients’ Rating of Provider92.9292.25
ACO-4CAHPS: Access to Specialists83.5483.49
ACO-5CAHPS: Health Promotion and Education56.4460.32
ACO-6CAHPS: Shared Decision Making76.8575.40
ACO-7CAHPS: Health Status/Functional Status70.8772.30
ACO-34CAHPS: Stewardship of Patient Resources28.6426.97
ACO-8Risk Standardized, All Condition Readmission13.5014.70
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)16.7518.17
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes39.8953.20
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure54.4475.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions45.5859.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)4.139.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)12.1414.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements98.3182.72
ACO-39Documentation of Current Medications in the Medical Record95.2287.54
ACO-13Falls: Screening for Future Fall Risk61.3864.04
ACO-14Preventive Care and Screening: Influenza Immunization58.8568.32
ACO-15Pneumonia Vaccination Status for Older Adults77.2169.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up86.7074.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention97.4990.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan38.3553.63
ACO-19Colorectal Cancer Screening70.6361.52
ACO-20Breast Cancer Screening70.7967.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented82.3776.79
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular Disease72.7677.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control19.6218.24
ACO-41Diabetes: Eye Exam41.1344.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure77.8270.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic83.2785.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)92.8688.67
ACO-33Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)69.2879.67

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 “Physicians Accountable Care of Utah” to view the quality performance results. This ACO can also be found by using the ACO ID A38301 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.