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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, MD
Primary Contact Phone Number801.965.3777
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
PetersonJimVoting 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 CommitteeMary Jane Pennington, MD, Chair
Operations CommitteeTBD, Chair

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • Second 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
  • 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

2017 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information81.2980.60
ACO-2CAHPS: How Well Your Providers Communicate92.4793.13
ACO-3CAHPS: Patients’ Rating of Provider92.2792.31
ACO-4CAHPS: Access to Specialists84.1683.32
ACO-5CAHPS: Health Promotion and Education58.3462.30
ACO-6CAHPS: Shared Decision Making78.6075.85
ACO-7CAHPS: Health Status/Functional Status73.6973.05
ACO-34CAHPS: Stewardship of Patient Resources32.6625.68
ACO-8Risk Standardized, All Condition Readmission14.6615.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)16.7718.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure67.6079.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions56.6661.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.681.93
ACO-11Use of Certified EHR Technology100.0098.48
ACO-12Medication Reconciliation96.6875.32
ACO-13Falls: Screening for Future Fall Risk77.8674.38
ACO-44Imaging Studies for Low Back Pain78.2667.32
ACO-14Preventive Care and Screening: Influenza Immunization75.7572.52
ACO-15Pneumonia Vaccination Status for Older Adults80.6572.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up78.2170.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention96.8590.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan47.5361.98
ACO-19Colorectal Cancer Screening72.7764.58
ACO-20Breast Cancer Screening66.8670.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease81.0979.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control15.4316.74
ACO-41Diabetes: Eye Exam53.9950.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure80.8271.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic84.2986.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

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.