Medicare ACO

Cascadia Care Network LLC

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

Primary Contact Name	Sandeep Singh
Primary Contact Phone Number	360-814-7472
Primary Contact Email Address	ssingh@skagitregionalhealth.org

Organizational Information

ACO Participants

ACO Participants	ACO Participant in Joint Venture
Public Hospital District No. 1, Skagit	N

ACO Governing Body

Member

Last Name	First Name	Title/Position	Voting Member's Power	Membership Type	ACO Participant Legal Business Name
Ivie	Brian	Board Chair and Chief Executive Officer	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Ishizukau	Paul	Treasurer	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Hink, MD	Mary Ann	Medical Director	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Ramsbottom, MD	Mary	Practicing Physician	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Griggs, MD	Joshua	Practicing Physician	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Escobar, MD	David	Practicing Physician	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Powell	Michelle	Board Member	Voting Member	Medicare Beneficiary Representative	Public Hospital District No. 1 Skagit County

Key ACO Clinical and Administrative Leadership

Sandeep Singh	ACO Executive
Mary Ann Hink, MD	Medical Director
Lisa Norton	Compliance Officer
Sarah Place	Quality Assurance/Improvement Officer

Associated Committees and Leaders

Committee Name	Committee Leader Name and Position
Finance and Contracting Committee	Paul Ishizuka, CFO and Tamara Cesena, VP Revenue Cycle - Co-Chairs
Quality and Utilization Review Committee	Dr. Joshua Griggs - Chair
IS Data Governance and Informatics Committee	Lisa 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.

For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

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 data.cms.gov.