ACO Reporting

Required ACO public reporting

ACO Name and Location

Pacific Private Practice Network, Inc
30230 Rancho Viejo Road, Suite 110
San Juan Capistrano, CA 92675

ACO Primary Contact

Primary Contact Name

Mary Olsovsky

Primary Contact Phone Number

Primary Contact Email Address

Organizational Information

ACO PARTICIPANTS ACO Participant in Joint Venture (Enter Y or N)
ALAN R NILI DO A PROFESSIONAL CORPORATION N
ANAHEIM CARDIOLOGY MEDICAL GROUP INC N
ASHISH BHAVSAR, M.D., INC. N
CCOC, INC. N
FRANK ROSE N
Franklin Lowe Md, A Professional Medical Corporation N
Gabriel Carabulea, M.D., Inc. N
HELEN STOSEL MD INC N
Is Gujral Md N
Jason J Pang Md Inc N
JOHN LUSTER N
Judy L Bourget Md Inc N
KAIROS HEALTH CLINICS N
Katherine Manasson M.D., Inc N
Mark Galbraith MD Inc N
Mark Zaremba, MD N
MARYAM RAHNEMUN MD INC N
Michael D. Moran, M.D., Inc. N
Michael Fitzgibbons MD N
Mission Hills Medical Group Inc N
Newport Center Medical Group N
Orange Family Medicine Inc N
Pacific Crest Medical Group Inc N
Paloma Medical Group Inc N
Proprius Health Medical Group PC N
RAVEEN R. ARORA MD FACC N
RONALD MANDEL N
SAN CLEMENTE INTERNAL MEDICAL GROUP INC N
SOUTH COAST MEDICAL GROUP FAMILY AND SPORTS MEDICINE N
Suma Oommen MD, Inc. N
TLC Allergy And Asthma Associates, Inc N
YOUR FAMILY CARE CENTER INC N

ACO governing body

Member Last NameMember First NameMember Title / PositionMember’s Voting Power – Expressed as a percentage)Membership TypeACO Participant Legal Business Name/DBA, if Applicable
RovzarMichaelCEO/Voting Member25%ACO Participant RepresentativePaloma Medical Group
KadingAlbertVoting Member15%Medicare Beneficiary RepresentativeN/A
FitzgibbonsMichaelVoting Member15%ACO Participant RepresentativeMichael Fitzgibbons MD
ChangWilliamVoting Member15%ACO Participant RepresentativePaloma Medical Group
KaysBradleyVoting Member15%ACO Participant RepresentativeNewport Center Medical Group
CullenStevenVoting Member15%ACO Participant RepresentativeSan Clemente Internal Medical Group

Key ACO clinical and administrative leadership:

Michael Rovzar ACO Executive
Michael Rovzar Medical Director
Mary Olsovsky Compliance Officer
Mary Olsovsky Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Quality Assurance and Process ImprovementBradley Kays, MD, Chair
Patient ExperienceAlbert Kading, Beneficiary Representative, Chair
Medical Cost and Provider NetworkMichael Fitzgibbons, MD, Chair
Finance and CompensationMichael Rovzar, MD, Chair
Utilization and ManagementBradley Kays, MD, Chair

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

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

Shared Savings Distribution

First Agreement Period

2021 Quality Performance Results

Quality performance results are based on CMS Web Interface

ACO#

Measure Name

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

16.40

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

67.15

74.38

236

Controlling High Blood Pressure

67.07

74.87

318

Falls: Screening for Future Fall Risk

85.18

87.03

110

Preventative Care and Screening: Influenza Immunization

86.35

80.52

226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

96.15

80.97

113

Colorectal Cancer Screening

56.35

73.63

112

Breast Cancer Screening

65.62

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.86

84.24

321

CAHPS for MIPS3

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

0.1558

0.1540

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

30.31

33.99

CAHPS -1

Getting Timely Care, Appointments, and Information

85.57

84.67

CAHPS -2

How Well Providers Communicate

93.96

93.56

CAHPS -3

Patient’s Rating of Provider

93.43

92.19

CAHPS -4

Access to Specialists

78.55

78.80

CAHPS -5

Health Promotion and Education

61.03

61.61

CAHPS -6

Shared Decision Making

60.16

60.89

CAHPS -7

Health Status and Functional Status

71.98

71.78

CAHPS -8

Care Coordination

86.77

85.66

CAHPS -9

Courteous and Helpful Office Staff

90.07

91.88

CAHPS -11

Stewardship of Patient Resources

34.41

24.71

“Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.”