Quality Performance Results

ACO Name and Location

Physicians Accountable Care of Utah
7181 S. Campus View Dr.,
West Jordan, UT 84084


ACO Primary Contact

Primary Contact NameMary Jane Pennington, MD
Primary Contact Phone Number801.955.0080
Primary Contact Email Addressmpennington@grangermedical.com

Organizational Information

ACO Participants

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
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
PenningtonMary JaneCEO and Chair of the Board1ACO Participant RepresentativeGranger Medical Clinic, PC
PorterKevinSecretary and Treasurer1ACO Participant RepresentativeOgden Clinic, PC
NorrisJenniferVoting Member1ACO Participant RepresentativeGranger Medical Clinic, PC
SheridanScottVoting Member1ACO Participant RepresentativeGranger Medical Clinic, PC
AmannKellyVoting Member1ACO Participant RepresentativeOgden Clinic, PC
CopeDavidVoting Member1ACO Participant RepresentativeOgden Clinic, PC
MorrisChristineVoting Member1ACO Participant RepresentativeUtah Gastroenterology, PC
MargettsMikeVoting Member1Medicare BeneficiaryN/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

Finance CommitteeMary Jane Pennington, MD, Committee Chair
Quality/Clinical Policy CommitteeMary Jane Pennington, MD, Committee Chair
Operations CommitteeAdam Williams, Committee Chair

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

  • Second Agreement Period
    • Performance Year 2018, ($1,757,683)
    • 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 2018
      • 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 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

2018 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information85.6286.14
ACO-2CAHPS: How Well Your Providers Communicate93.3993.93
ACO-3CAHPS: Patients’ Rating of Provider91.2192.45
ACO-4CAHPS: Access to Specialists82.9381.50
ACO-5CAHPS: Health Promotion and Education57.5859.26
ACO-6CAHPS: Shared Decision Making58.2661.94
ACO-7CAHPS: Health Status/Functional Status72.2473.35
ACO-34CAHPS: Stewardship of Patient Resources31.4626.26
ACO-8Risk Standardized, All Condition Readmission14.3814.98
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.4618.59
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes30.9037.01
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure59.2076.75
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions49.8759.00
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.671.98
ACO-11Use of Certified EHR Technology100.0098.20
ACO-12Medication Reconciliation100.0085.91
ACO-13Falls: Screening for Future Fall Risk83.5679.73
ACO-44Imaging Studies for Low Back Pain65.3864.36
ACO-14Preventive Care and Screening: Influenza Immunization81.9972.71
ACO-15Pneumonia Vaccination Status for Older Adults89.7675.97
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up82.7076.83
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention100.0072.81
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan64.8366.74
ACO-19Colorectal Cancer Screening86.1368.27
ACO-20Breast Cancer Screening73.0171.96
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease86.2981.47
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control12.5015.51
ACO-41Diabetes: Eye Exam62.9052.42
ACO-28Hypertension (HTN): Controlling High Blood Pressure83.4473.10
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic92.8488.92

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.