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 Name Mary Jane Pennington
Primary Contact Phone Number 8019653777
Primary Contact Email Address MPennington@grangermedical.com

Organizational Information

ACO Participants

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

ACO Governing Body

Member Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Pennington MJ Chair 1 ACO Participant Representative Granger Medical Clinic, Inc
Tanner David Voting Member 1 ACO Participant Representative Granger Medical Clinic, Inc
Porter Kevin Voting Member 1 ACO Participant Representative Ogden Clinic
Amann Kelly Voting Member 1 ACO Participant Representative Ogden Clinic
Taylor Jack Voting Member 1 ACO Participant Representative Foothill Clinic, Inc,
Hoggard Timo Voting Member 1 ACO Participant Representative Premier Family Medical
Margetts Mike Voting Member 1 Medicare Beneficiary Representative N/A

Key ACO Clinical and Administrative Leadership

Mary Jane Pennington ACO Executive
Mary Jane Pennington Medical Director
Mary Jane Pennington Compliance Officer
Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Quality/Clinical Policy Committee Roy Gandolfi, MD, Chair
Operations Committee TBD, 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 Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.42 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 93.23 93.01
ACO-3 CAHPS: Patients’ Rating of Provider 92.92 92.25
ACO-4 CAHPS: Access to Specialists 83.54 83.49
ACO-5 CAHPS: Health Promotion and Education 56.44 60.32
ACO-6 CAHPS: Shared Decision Making 76.85 75.40
ACO-7 CAHPS: Health Status/Functional Status 70.87 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 28.64 26.97
ACO-8 Risk Standardized, All Condition Readmission 13.50 14.70
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.75 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 39.89 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 54.44 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 45.58 59.81
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 4.13 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 12.14 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 98.31 82.72
ACO-39 Documentation of Current Medications in the Medical Record 95.22 87.54
ACO-13 Falls: Screening for Future Fall Risk 61.38 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 58.85 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 77.21 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 86.70 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.49 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 38.35 53.63
ACO-19 Colorectal Cancer Screening 70.63 61.52
ACO-20 Breast Cancer Screening 70.79 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 82.37 76.79
ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 72.76 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.62 18.24
ACO-41 Diabetes: Eye Exam 41.13 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 77.82 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 83.27 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 92.86 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 69.28 79.67

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.