ACO

Introduction

The purpose of this document is to provide ACOs participating in the Shared Savings Program with a public reporting template, pre-populated with ACO-specific information obtained from CMS records. Information to populate the template is obtained from ACO reported information submitted to the ACO Management System (ACO-MS). ACOs participating in the Shared Savings Program are required to publicly report ACO organizational information and performance results on a designated webpage, per 42 CFR § 425.308.

Instructions

ACOs will receive a pre-populated template from CMS near the start of every performance year and after performance year quality and financial reconciliation concludes. For PY 2019, ACOs also received a pre-populated template from CMS after the Annual Certification signature period for the performance year ending June 30, 2019, and the performance year beginning July 1, 2019.



ACOs must use the most recent template to report updates to their financial and quality results. All ACOs must use the template to report other organizational changes as needed. At all three of these junctures, each ACO must take the following steps to meet the Shared Savings Program’s public reporting requirements:

  1. Verify the pre-populated information is correct. If any of the pre-populated information is incorrect, please notify CMS by emailing SharedSavingsProgram@cms.hhs.gov . In the Subject line of your email, please include the phrase “Public Reporting Template” and your ACO ID. CMS will review your email request and advise, as necessary. If you find an error with your organizational information, or contact data, please correct it in ACO-MS .

  2. Provide the remaining information in the (unpopulated) highlighted fields in the template and remove the highlighting once completed.

  3. Report all information on your ACO’s public reporting webpage. ACOs can select one of two ways to report it. 1) Display all of the information from the completed template on the webpage using existing webpage styles (e.g., fonts, text sizes, headers). Or, 2) create a PDF of the completed template, without modifying the format, and link to it from your public reporting webpage:

  • Remove all yellow highlighting and these instructions before displaying template content on the webpage.

  • Do not add data that isn’t required or omit data from the template.

  • Do not include any taxpayer identification numbers (TINs) on the template.

  1. Now that the 2018 Financial Reconciliation and Quality Reporting Results are complete, you must update your public reporting webpage using the public reporting information provided below. If there are any changes to your ACO’s organizational information throughout the year that you are required to publicly report, ACOs must update your public reporting webpage within 30 days of the change. Please make corresponding updates in ACO-MS because ACO-MS is CMS’ source for data that is made publicly available.

Your ACO’s pre-populated template is included in the subsequent pages of this document. 

Definitions and Notes

For ease of reference, the terms below in the public reporting template are defined as the following:

  • ACO Participant in Joint Venture:a joint venture is when two or more persons or entities engage in a defined project in which all of the following exists: 1) an express agreement; 2) a common purpose that the parties intend to carry out; 3) shared profits and losses related to the project; and 4) each party has a voice in controlling the project.

  • ACO Governing Body Member Voting Power:governing body member voting power refers to the number of votes the member has, expressed as a percentage or number.

  • ACO Governing Body Membership Type:membership types include ACO participant representative, Medicare beneficiary representative, community stakeholder representative, or other.

For your ACO participants listed in the Organizational Information section, CMS populated your ACO participants’ legal business name. If the ACO participant has a doing business as (D/B/A) name and you would prefer to include it, enter it in parentheses next to the ACO participant’s legal business name in the ACO participants table.

ACO Name and Location

Family Choice ACO, LLC

Previous Names: N/A

7631 Wyoming Street

Suite 201

 Westminster, CA 92683

ACO Primary Contact

Primary Contact Name Dr. Toan Tran
Primary Contact Phone Number (714) 898 – 0612
Primary Contact Email Address familychoiceipa@verizon.net

Organizational Information

ACO participants

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Eye Q Optometry Inc N
Humberto Florian N
Katella Medical Group N
Nancy Vu N
California Heart Specialists N
Michael Vu N
Southern California Endocrine Medical Group, P. M. C. N
Richard Nguyen N
Nguyen And Mok Medical Group N
Families Together of Orange County N
Long Phi Dang, Md, Inc. N
Harbor Arthritis And Medical Clinic N
Tam H. Le, MD Inc. N
PHUC VINH NGUYEN MD INC N
Neurological Medical Group Of Orange County Inc N
Hai Pham Md Inc N
DEAN BA NGO MD INC N
Pain Medicine Specialty Group, Inc. N
Jeffrey Tan Ho, Inc. N
Eric H Pham, MD INC N
ISAAC BESHAY MD INC N
Duc Tran, DO INC N
Dat Duong, M.D., Inc. N
Reginald G M Abraham, MD INC N
WILLIAM I. HAN, M.D. INC N
Pediatric Surgical Associates Inc A Medical Corporation N
HUNG-CHUAN CHENG MD INC N
Khai Quan Tran, M.D., INC N
DO JACLYNN MD INC. N
Humane Care 7 Days Medical Groups,Inc N
Kelvin Mai, D.O., Inc N
Derek Truong Phan, MD Inc. N
Phong H. Bui, Inc. N
CHARLES W. MONIAK, M.D. INC N
SOUTH COAST FAMILY MEDICINE, INC N
GAYTRI GANDOTRA MD INC N
Mary Tran N
Coastal Heart Medical Group, Inc. N
Ranjan K Sapra M.D A Medical Corporation N
COAST PULMONARY & INTERNAL MEDICINE ASSOCIATES N
Raj Menon, Md,Inc N
Leport Surgical Medical Corporation N
Ghanshyam Lohiya N
CHEST AND CRITICAL CARE CONSULTANTS N
Daniel T Stein, M.D. A Medical Corporation N
CENTRAL COUNTY CHEST MEDICAL GROUP, INC N
Harishcnadra N Patel Md Inc N
Nhan Hoa Comprehensive Health Care Clinic Inc N
Thoa Trong Do Md Prof. Corp. N
Vy Chi Nguyen Md Inc N
A.S. SAWHNEY, M.D., INC. N
Phu Van Dang, Md & Pauline Suong Thi Dang, Md, A Prof Medical Corp N
Pacific Shores Medical Group, Inc N
Nhan Xuan Nguyen,M.D. Inc. N
AMBULATORY FOOT CARE-PODIATRY CLINIC, INC. N
Thanh-Lan Trong Quan Md N
Magnolia Family Care Medical Center N
Praful Sarode M.D Inc. N
Leduc Medical Group, Inc. N
Toan Q. Tran, M.D. , Inc. N
Adult And Pediatric Orthopaedic Specialists A Medical Group Inc N
Sangamitra Kothapa, MD INC N
Advantage Plus Medical Center, Inc. N
Chuc B. Dang, DPM Inc. N
Quang Q. Phan, MD FACP, INC. N
NAQVI AND NAQVI, M.D.’S INC N
Paul T Duong Md Inc N
Quan H. Nguyen Md A Professional Corporation N
Hung The Quach, M.D., Inc. N
Thomas Tri Quach Md Inc N
PAN & PAN MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION N
Luis A Chanes, Md, Inc N
Alan T Tran Md Inc N
Magnolia Eye Care Medical Center Inc N
Garden Grove Womens Health Specialists Inc N
Garden Grove Primary Care Medicine Inc N
PRIORITY CARE MEDICAL GROUP N
HENNY NGUYEN D.P.M., INC. N
Full Health University Medical Clinic N
Luc Sinh Nguyen Md Facc Inc N
Manish B. Marolia, M.D., Inc. N
ANNMARIE NGUYEN MD, INC N
Lalita Pandit Md Inc N
Hamendra Rana N
Westminster Medical Office, Inc. N
Hitesh Patel N
Nguyen Do Duy Md Inc N
Loi Luu, M.D., Inc. N
Compassionate Cancer Care Medical Group, Inc. N
Trieu T Tran, Md. Inc. N
Kevin Khai Tieu, Md Pc N
Michael Dao Medical Center, Inc. N
Theresa Thanh Ngoc Nguyen, MD, Inc. N
Arista Medical Center N
Heart Center Of Orange County N
ORANGE COUNTY CARDIAC RHYTHM INSTITUTE, P.C. N
KHUE N VU MD INC N
PAYAM FARJOODI MD INC N
Huong Tran Quy Inc. N
Sunita Moola MD Inc N
Tung Huu Nguyen Md Inc N
John P Kelly A Professional Medical Corporation N
TANYA OPTOMETRY CORPORATION N
Joseph Nguyen, DO Inc. N
GASTROINTESTINAL AND LIVER CONSULTANTS INC N
Dillon N Tran Do Inc N
West Coast Wellness & Preventive Care Inc. N
Joseph Gregurich N
JOSE VALDEZ N
AN DANG N
Barry Schwartz N
Van Vu N
Khiem D. Dao, MD Inc N
Victor Dinh N
Elliot Romero N
PHILIP LYNN N
Frank Rubino N
Cam Huong Tran N
Ahmed Badr N
Marvous Saunders N
TUNG NGUYEN N
Nghiem Dang N
Trung Pham N
Dinh Dinh N
PHUC DANG NGUYEN M.D INC N
Hiep Dinh Dang, D.O., INC N
Tung Phan Md Inc N
Nhanhau Ngo Md Inc N
Popular Medical Clinic Inc. N
DNX MEDICAL INC N
HUNG CHUNG, MD, INC. N
PAUL J KIM MD INC N
TIM T. LAI, MD, INC. N
Thanh-Mai Trinh Md, Inc N
JAMES T. TRAN, MD, CORP. N
PULMONARY CARE & SLEEP ASSOCIATES N
Andy Tuan Ho, MD Inc. N
Pulmonary And Sleep Disorder Consultants, Inc N
Trung Minh Nguyen, Md, Inc N
Chinh T. Dinh, A Professional Medical Corporation N
BERNARD TURBOW MD INC N
Orange County Renal Medical Group, Inc. N
Jerrold D Cantor Md Inc N
Joel A Berman, Md Inc N
R Sankaram Md A Medical Corporation N
Dr.Harvey Goldstone, A Professional Corporation N
H.M. Sung, M.D., Inc. N
Southland Integrated Services, Inc. N
Keith Norman Kausler Dc Inc-A N
Vu Q Ban Md Inc N
NGUYEN HUU MD INC N
Hyung O Kim Md Inc N
Sridhara K S Iyengar Md Inc N
HARINDER S. GOGIA, M.D., INC. N
VM MEDICAL GROUP N

ACO governing body

Member
Last NameFirst NameTitle/Position
Member’s Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
TranToanACO Chief
Executive
Officer
51%ACO Participant RepresentativeToan Q. Tran, MD Inc.
BanVuPracticing Physician
6%ACO Participant RepresentativeVu Q. Ban, MD Inc.
GordonLowellACO Chief Medical Officer
4%MSOFamily Choice ACO
QuachHungACO Chief Financial Officer
6%ACO Participant RepresentativeQuang Chi Quach, A Prof Medical Corporation
HallJordanACO Executive Officer
5%Executive OfficerFamily Choice ACO
PhamTrungSecretary/ Board Member
6%ACO Participant RepresentativeTrung N. Pham, MD
NguyenPhucBoard Member
6%ACO Participant RepresentativePhuc Vinh Nguyen, MD INC.
TranDillonAmbulatory Operations
6%ACO Participant RepresentativeDillon N. Tran, DO Inc.
TranAlanBoard Member
6%ACO Participant RepresentativeAlan T. Tran, MD Inc.
NguyenVuong DucBoard Member
4%Medicare Beneficiary RepresentativeN/A

Key ACO clinical and administrative leadership

Dr. Toan Tran Chief Executive Officer Quality Assurance Officer  Improvement Officer
Jordan Hall ACO Executive Officer
Dr. Lowell Gordon Medical Director Chief Medical Officer
Barry Luong Operations Manager  Compliance Officer

Associated committees and committee leadership

Committee NameCommittee Leader Name and Position
Quality & Performance Committee Lowell Gordon, M.D.
Compliance Committee Compliance Officer LyLy Nguyen, J.D.
Care Coordination & Performance Committee  Dillon Tran, MD
Finance and Payer Contracting Committee Hung Quach, MD
Network Management Committee Toan Tran, MD /Jordan Hall

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

Shared Savings and Losses

    Amount of Shared Savings/Losses
      • First Agreement Period
      • Performance Year 2018, $1,216,684
      • Performance Year 2019, $2,195,332
      • First Agreement Period
      • Performance Year 2018, $1,216,684
      • Proportion invested in infrastructure 25% ($304,170)
      • Proportion invested in redesigned care process/resources to improve outcomes/reduce Medicare cost for Beneficiates 25% ($304,170)
      • Proportion of distribution to Next Generation ACO Participants 50% ($608,314.00)
      • Performance Year 2019
      • Proportion invested in infrastructure 25% ($548,833)
      • Proportion invested in redesigned care process/resources to improve outcomes/reduce Medicare cost for Beneficiates 25% ($548,833)
      • Proportion of distribution to Next Generation ACO Participants 50% ($1,097,666)

      Quality Performance Results

      2018 Quality Performance Results:

      ACO# Measure Name Rate ACO Mean
      ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.97 86.14
      ACO-2 CAHPS: How Well Your Providers Communicate 89.20 93.93
      ACO-3 CAHPS: Patients’ Rating of Provider 90.75 92.45
      ACO-4 CAHPS: Access to Specialists 76.72 81.50
      ACO-5 CAHPS: Health Promotion and Education 51.78 59.26
      ACO-6 CAHPS: Shared Decision Making 69.85 61.94
      ACO-7 CAHPS: Health Status/Functional Status 70.09 73.35
      ACO-34 CAHPS: Stewardship of Patient Resources 32.77 26.26
      ACO-8 Risk Standardized, All Condition Readmission 15.00 14.98
      ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.93 18.59
      ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 35.97 37.01
      ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 74.65 76.75
      ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.80 59.00
      ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.88 1.98
      ACO-11 Use of Certified EHR Technology 81.31 98.20
      ACO-12 Medication Reconciliation Post-Discharge 96.30 85.91
      ACO-13 Falls: Screening for Future Fall Risk 39.10 79.73
      ACO-44 Use of Imaging Studies for Low Back Pain 83.33 64.36
      ACO-14 Preventive Care and Screening: Influenza Immunization 82.46 72.71
      ACO-15 Pneumonia Vaccination Status for Older Adults 58.25 75.97
      ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 96.48 76.83
      ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.30 72.81
      ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 21.93 66.74
      ACO-19 Colorectal Cancer Screening 46.67 68.27
      ACO-20 Breast Cancer Screening 58.70 71.96
      ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.19 81.47
      ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 10.98 15.51
      ACO-41 Diabetes: Eye Exam 40.24 52.42
      ACO-28 Hypertension (HTN): Controlling High Blood Pressure 66.13 73.10
      ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 91.36 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.

      2019 Quality Performance Results:

      ACO# Measure Name Rate ACO Mean
      ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.65 85.97
      ACO-2 CAHPS: How Well Your Providers Communicate 86.52 94.11
      ACO-3 CAHPS: Patients’ Rating of Provider 88.98 92.69
      ACO-4 CAHPS: Access to Specialists 75.03 81.54
      ACO-5 CAHPS: Health Promotion and Education 48.06 60.44
      ACO-6 CAHPS: Shared Decision Making 64.75 63.78
      ACO-7 CAHPS: Health Status/Functional Status 72.77 73.79
      ACO-34 CAHPS: Stewardship of Patient Resources 30.41 26.17
      ACO-8 Risk Standardized, All Condition Readmission 15.52 14.86
      ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) NA NA
      ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes NA NA
      ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure NA NA
      ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.57 58.15
      ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.65 1.87
      ACO-11 Use of Certified EHR Technology 100 TBD
      ACO-12 Medication Reconciliation Post-Discharge NA NA
      ACO-13 Falls: Screening for Future Fall Risk 66.67 84.04
      ACO-44 Use of Imaging Studies for Low Back Pain NA NA
      ACO-14 Preventive Care and Screening: Influenza Immunization 100 74.77
      ACO-15 Pneumonia Vaccination Status for Older Adults NA NA
      ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up NA NA
      ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78.04 78.04
      ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 100 70.40
      ACO-19 Colorectal Cancer Screening 100 70.76
      ACO-20 Breast Cancer Screening 50 73.84
      ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 100 82.17
      ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 10.00 13.88
      ACO-41 Diabetes: Eye Exam NA NA
      ACO-28 Hypertension (HTN): Controlling High Blood Pressure 60 75.04
      ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet NA NA

      Note: In the Quality Performance Results file(s) above, search for “Family Choice ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3770 in the public use files on data.cms.gov.

      Payment Rule Waivers

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