ACO Public Reporting Information

ACO Name and Location

Seton Accountable Care Organization, Inc.
Previous Legal Business Entity Name: Seton Health Alliance, Inc.
1345 Philomena Street
Suite 402
Austin, Texas 78723

ACO Primary Contact

Amy Miller
512.324.1000 Ext.17362
Send an Email

Organizational Information

ACO participantsACO Participant in Joint Venture (Enter Y or N)
Adult Inpatient Medical ServicesN
Capital Medical Clinic, LLPN
Austin Regional Clinic, P.A.N
Lone Star Circle of CareN

ACO governing body:

Member LastnameMember FirstnameTitle/PositionMember's Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
BruceTrentCEOVoting MemberACO Participant RepresentativeAdult Inpatient Medical Services
HerndonScottTreasurerVoting MemberACO Participant RepresentativeAdult Inpatient Medical Services
Jesudass, MDSamsonChairVoting MemberACO Participant RepresentativeAdult Inpatient Medical Services
Martin, MDDavidVoting MemberACO Participant RepresentativeAdult Inpatient Medical Services
Shen, MDMarkVoting MemberACO Participant RepresentativeAdult Inpatient Medical Services
Brinkman, MDDianeVoting MemberACO Participant RepresentativeAustin Regional Clinic, P.A.
Chenven, MDNormanVoting MemberACO Participant RepresentativeAustin Regional Clinic, P.A.
Daghestani, MDAnasPresident and CMOVoting MemberACO Participant RepresentativeAustin Regional Clinic, P.A.
Krienke, MDRussVoting MemberACO Participant RepresentativeAustin Regional Clinic, P.A.
ParkerPattiVoting MemberACO Participant RepresentativeAustin Regional Clinic, P.A.
Kroll, MDKennethVoting MemberACO Participant RepresentativeCapital Medical Clinic, LLP
Angelocci, MDTracyVoting MemberACO Participant RepresentativeLone Star Circle of Care
Pirwitz, MDMarkVoting MemberCommunity Stakeholder RepresentativeN/A
ShivelyDawnVoting MemberMedicare Beneficiary RepresentativeN/A

Key ACO clinical and administrative leadership:

Trent BruceACO Executive
Anas Daghestani, MDMedical Director
Vickie PaterraCompliance Officer
Mark Shen, MDQuality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Clinical Integration CommitteeMark Shen, MD, Chair
Membership and Credentialing CommitteeAnas Daghestani, MD, Chair
Incentive Compensation CommitteeKenneth Kroll, MD, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $5,062,019
    • Performance Year 2015, $0
    • Performance Year 2014, $5,178,802

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 23.5%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 76.5%
    • 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: 30%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 70%

Quality Performance Results

2016 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information82.8479.9
ACO-2CAHPS: How Well Your Providers Communicate92.5692.63
ACO-3CAHPS: Patients' Rating of Provider92.2591.93
ACO-4CAHPS: Access to Specialists84.4683.52
ACO-5CAHPS: Health Promotion and Education58.9660
ACO-6CAHPS: Shared Decision Making75.0175.28
ACO-7CAHPS: Health Status/Functional Status74.3171.82
ACO-34CAHPS: Health Status/Functional Status24.2527.52
ACO-8Risk-Standardized, All Condition Readmission14.1414.7
ACO-35killed Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)17.3818.17
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes44.9953.2
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure64.2575.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions47.9159.81
ACO-9Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)8.59.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )11.814.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements10082.72
ACO-39Documentation of Current Medications in the Medical Record94.4587.54
ACO-13Falls: Screening for Future Fall Risk52.7464.04
ACO-14Preventive Care and Screening: Influenza Immunization74.3268.32
ACO-15Pneumonia Vaccination Status for Older Adults90.3869.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up51.7474.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention97.2290.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan39.3753.63
ACO-19Colorectal Cancer Screening73.3561.52
ACO-20Breast Cancer Screening82.8467.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented93.276.84
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease78.0677.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control11.5518.24
ACO-41Diabetes: Eye Exam72.0644.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure78.8170.52
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic86.1685.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)95.4588.67
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%)85.1479.67

Note: In the Quality Performance Results file(s) above, search for “Seton Accountable Care Organization, Inc.” to view the quality performance results. This ACO can also be found by using the ACO ID A07620 in the public use files on data.cms.gov.

Payment Rule Waivers

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