ACO Public Reporting Information

ACO Name and Location

Seton Accountable Care Organization, Inc.
Previous Names: Seton Health Alliance, Inc.
1345 Philomena Street
Suite 402
Austin, TX 78723

ACO Primary Contact

Amy Miller
512.324.1000 Ext.17362
Send an Email

Organizational Information

ACO Participants:

ACO participantsACO Participant in Joint Venture
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, MDSamsonVoting MemberACO Participant RepresentativeAdult Inpatient Medical Services
Martin, MDDavidVoting MemberACO Participant RepresentativeAdult Inpatient Medical Services
Shen, MDMarkVice ChairVoting 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 CMO, ChairVoting MemberACO Participant RepresentativeAustin Regional Clinic, P.A.
SumnerLucyVoting MemberACO Participant RepresentativeAustin Regional Clinic, P.A.
Zdunek, DOJayVoting 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:

NameACO Leadership Position
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:

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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2017, $3,662,884
  • First Agreement Period
    • Performance Year 2016, $5,062,019
    • Performance Year 2015, $0
    • Performance Year 2014, $5,178,802

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 20.5%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 79.5%
  • 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

2017 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information81.7880.60
ACO-2CAHPS: How Well Your Providers Communicate93.2093.13
ACO-3CAHPS: Patients' Rating of Provider93.1692.31
ACO-4CAHPS: Access to Specialists82.1983.32
ACO-5CAHPS: Health Promotion and Education61.4662.30
ACO-6CAHPS: Shared Decision Making72.5775.85
ACO-7CAHPS: Health Status/Functional Status74.5973.05
ACO-34CAHPS: Stewardship of Patient Resources26.7425.68
ACO-8Risk Standardized, All Condition Readmission14.3615.01
ACO-35Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)17.6018.46
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes46.2453.95
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure66.9379.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions53.2461.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.881.93
ACO-11Use of Certified EHR Technology100.0098.48
ACO-12Medication Reconciliation83.5475.32
ACO-13Falls: Screening for Future Fall Risk84.6774.38
ACO-44Imaging Studies for Low Back Pain76.1267.32
ACO-14Preventive Care and Screening: Influenza Immunization77.2372.52
ACO-15Pneumonia Vaccination Status for Older Adults89.0972.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up65.8270.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention85.7690.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan67.8261.98
ACO-19Colorectal Cancer Screening77.3264.58
ACO-20Breast Cancer Screening78.7470.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease90.0079.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control10.7216.74
ACO-41Diabetes: Eye Exam69.7050.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure80.8871.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic88.1986.86

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 “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.