ACO Name and Location

Cumberland Center for Healthcare Innovation, LLC
3300 Williams Enterprise Drive
Suite #2
Cookeville, Tennessee 38506

ACO Primary Contact

Primary Contact Name

Brent Staton, MD

Primary Contact Phone Number

931-400-0011

Primary Contact Email Address

bstaton@cchi-tn.com

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

James R Spurlock III DO

(Mountain View Medical)

N

Mutigen LLC

N

Armadillo Medical Services PC

N

Bienvenido T. Samson, MD

N

Livingston Family Healthcare LLC

N

Oasis Medical Center, LLC

N

Cumberland Adult Medicine PLLC

N

Northside Medical Professionals PC

N

Staton Southern Medical PLLC

N

Sequatchie Valley Primary Care

N

Brett Ferrell (Brett L. Ferrell MD)

N

Larry Barnes (Larry Barnes MD)

N

Cornerstone Family Medicine LLC

N

Tullahoma Immediate Care PC

N

Innovative Family Care

N

Holly Blankenship, DO

N

Lynchburg Medical Clinic LLC

N

Seasons Family Medicine PLLC

N

The Health Group of McMinnville, PC

N

John R Clough

(Priority Care Medical Clinic)

N

Alan R. Drake MD

N

Wayne O Wells MD

N

Richard Cole MD

(Spectrum Medical Associates)

N

Cripps, Hooper & Rhody, PLLC

(Family Medical Center)

N

Debora C Daniel MD

N

Cumberland Family Care, PC

N

C.S. Sewell, MD, PC

N

Family Medical PC

N

Pinnacle Internal Medicine PLLC

N

Stacey B. Carlton MD, PC

N

Cannon County Healthcare

(Woodbury Medical Center)

N

Frix-Jennings Clinic PC

N

Family Practice Center of Tullahoma LLC

N

Christopher P Dill MD, PLLC

N

Glover Primary Care

N

BlueSky HouseCalls

N

Johnson Family Medicine LLC

N

Kingston Health Associates

N

McMinnville Medical Associates PLLC

N

Terry S Holder MD

N

ACO governing body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Spurlock

James

Chair

1

ACO Participant Representative

Mountain View Medical

Harlow

Susan

Vice Chair

1

ACO Participant Representative

Cumberland Adult Medicine

Cooper

Steven

Voting Member

1

ACO Participant Representative

Family Medical Center

Ferrell

Brett

Voting Member

1

ACO Participant Representative

Brett Ferrell, MD & Family Practice Center of Tullahoma

Robertson II

George “Bill”

Voting Member

1

ACO Participant Representative

Family Medical PC

Staton

Brent

Voting Member

1

ACO Participant Representative

Staton Southern Medical

Webb

Ty

Voting Member

1

ACO Participant Representative

Cumberland Family Care

Stafne

James

Voting Member

1

Medicare Beneficiary Representative




Key ACO clinical and administrative leadership:

Brent Staton MD

ACO Executive

Ty Webb MD

Medical Director

Libby Plunkett

Compliance Officer

Ty Webb MD

Quality Assurance/Improvement Officer



Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Clinical Transformation Committee

Ty Webb MD, Chair

Finance Committee

Steven Cooper MD, Chair

Compliance Committee

Brent Staton MD, Chair





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



Shared Savings and Losses

Amount of Shared Savings/Losses



Shared Savings Distribution







Quality Performance Results

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

78.26

80.51

ACO-2

CAHPS: How Well Your Providers Communicate

93.48

93.01

ACO-3

CAHPS: Patients' Rating of Provider

93.27

92.25

ACO-4

CAHPS: Access to Specialists

86.71

83.49

ACO-5

CAHPS: Health Promotion and Education

61.54

60.32

ACO-6

CAHPS: Shared Decision Making

75.43

75.40

ACO-7

CAHPS: Health Status/Functional Status

67.81

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

28.21

26.97

ACO-8

Risk-Standardized, All Condition Readmission

15.2

14.7

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

18.28

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

61.79

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

90.94

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

73.14

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

12.48

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

12.92

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

66.67

82.72

ACO-39

Documentation of Current Medications in the Medical Record

95.14

87.54

ACO-13

Falls: Screening for Future Fall Risk

62.13

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

80.18

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

70.89

69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

84.11

74.45

ACO-17

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

94.07

90.98

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

66.92

53.63

ACO-19

Colorectal Cancer Screening

66.39

61.52

ACO-20

Breast Cancer Screening

71.59

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

90.3

76.79

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.61

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.29

18.24

ACO-41

Diabetes: Eye Exam  

45.12

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

75.87

70.69

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

92.41

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

90.82

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

84.07

79.67



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 “Cumberland Center for Healthcare Innovation, LLC” or "Cumberland Center for Healthcare Innovation" to view the quality performance results. This ACO can also be found by using the ACO ID A98813 in the public use files on data.cms.gov.

Payment Rule Waivers