Medicare ACO

Cascadia Care Network LLC

Previous Names: N/A
1415 East Kincaid Street
Mount Vernon, WA 98274

Primary Contact NameSandeep Singh
Primary Contact Phone Number360-814-7472
Primary Contact Email

Organizational Information

ACO Participants

ACO ParticipantsACO Participant in Joint Venture
Public Hospital District No. 1, SkagitN


ACO Governing Body


Last Name
First Name
Voting Member's Power Membership Type
ACO Participant Legal Business Name
IvieBrianBoard Chair and Chief Executive OfficerVoting MemberACO ParticipantPublic Hospital District No. 1 Skagit County
IshizukauPaulTreasurer Voting Member ACO ParticipantPublic Hospital District No. 1 Skagit County
Hink, MDMary AnnMedical DirectorVoting MemberACO ParticipantPublic Hospital District No. 1 Skagit County
Ramsbottom, MDMaryPracticing PhysicianVoting MemberACO ParticipantPublic Hospital District No. 1 Skagit County
Griggs, MDJoshuaPracticing PhysicianVoting MemberACO ParticipantPublic Hospital District No. 1 Skagit County
Escobar, MD  DavidPracticing Physician Voting Member ACO ParticipantPublic Hospital District No. 1 Skagit County
PowellMichelleBoard MemberVoting MemberMedicare Beneficiary RepresentativePublic Hospital District No. 1 Skagit County



Key ACO Clinical and Administrative Leadership

Sandeep SinghACO Executive
Mary Ann Hink, MDMedical Director
Lisa NortonCompliance Officer
Sarah PlaceQuality Assurance/Improvement Officer


Associated Committees and Leaders

Committee NameCommittee Leader Name and Position
Finance and Contracting CommitteePaul Ishizuka, CFO and Tamara Cesena, VP Revenue Cycle - Co-Chairs
Quality and Utilization Review CommitteeDr. Joshua Griggs - Chair
IS Data Governance and Informatics CommitteeLisa Buller, CIO


Types of ACO Participants, or Combination of Participants, that formed the ACO:

  • Hospital employing ACO Professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    - Performance Year 2018, $0

Shared Savings Distribution

  • First 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

Quality Performance Results

2018 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 74.44 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 91.75 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 89.73 92.45
ACO-4 CAHPS: Access to Specialists 76.46 81.50
ACO-5 CAHPS: Health Promotion and Education 58.10 59.26
ACO-6 CAHPS: Shared Decision Making 62.68 61.94
ACO-7 CAHPS: Health Status/Functional Status 69.31 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 26.10 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.94 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.87 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 41.89 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 80.01 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 58.50 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.69 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation Post-Discharge 100.00 85.91
ACO-13 Falls: Screening for Future Fall Risk 68.15 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 66.67 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 61.85 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 78.09 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 62.78 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 29.73 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 58.06 66.74
ACO-19 Colorectal Cancer Screening 61.42 68.27
ACO-20 Breast Cancer Screening 62.50 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.52 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.36 15.51
ACO-41 Diabetes: Eye Exam 57.62 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 66.40 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 95.13 88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Cascadia Care Network LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3731 in the public use files on


Payment Rule Waivers


Our ACO does not utilize the SNF 3-Day Rule Waiver.