Cumberland Center for Healthcare Innovation,
LLC
260 W 5th Street
Cookeville, TN 38501
|
Primary Contact Name |
Brent Staton, MD |
|
Primary Contact Phone Number |
931-400-0011 |
|
Primary Contact Email Address |
bstaton@cchi-tn.com |
ACO Participants:
|
ACO Participants |
ACO Participant in Joint Venture (Enter Y or N) |
|
Armadillo Medical Services PC |
N |
|
Brett Ferrell MD |
N |
|
Byrdstown Medical Center, PLLC |
N |
|
Callie Medical Group LLC |
N |
|
C.S. Sewell, MD, PC |
N |
|
Cannon County
Healthcare PC (DBA Woodbury Medical Center) |
N |
|
Christopher P Dill Md Pllc (DBA Dill Family Medicine) |
N |
|
Cornerstone Family Medicine LLC |
N |
|
Cumberland Adult Medicine PLLC |
N |
|
Cumberland Family Care, PC |
N |
|
Dannie Glover MD |
N |
|
Debora C Daniel MD |
N |
|
Family Medical PC |
N |
|
Family Practice Center of Tullahoma LLC |
N |
|
Frix-Jennings Clinic PC |
N |
|
Gigi Davis, DO |
N |
|
Grace Primary Care |
N |
|
Innovative Family Care |
N |
|
James R Spurlock III DO (DBA Mountain View Medical) |
N |
|
John R Clough MD (DBA Priority Care Medical
Clinic) |
N |
|
Johnson Family Medicine LLC |
N |
|
Larry Barnes (DBA Norris Creek Family Practice) |
N |
|
Livingston Family Healthcare LLC |
N |
|
Lynchburg Medical Clinic LLC |
N |
|
McMinnville Medical Associates Pllc |
N |
|
Mutigen LLC (DBA Universal Family Care) |
N |
|
Providence Family Medicine |
N |
|
Seasons Family Medicine PLLC |
N |
|
Sequatchie Valley Primary Care |
N |
|
Spectrum Medical Associates |
N |
|
Stacey B. Carlton, M.D. |
N |
|
Staton Southern Medical PLLC |
N |
|
Tullahoma Immediate Care PC |
N |
|
Woman’s Clinic, PA |
N |
|
493 Internal Medicine |
N |
ACO Governing Body:
|
Member First Name |
Member Last Name |
Member Title/Position |
Member’s Voting Power
(Expressed as a Percentage) |
Membership Type |
ACO Participant Legal
Business Name |
|
Spurlock III |
Chair |
12.5% |
ACO Participant Representative |
James R Spurlock III DO |
|
|
Kenneth |
Beaty |
Voting Member |
12.5% |
ACO Participant Representative |
Livingston Family
Care |
|
Karin |
Boeck |
Voting Member |
12.5% |
ACO Participant
Representative |
Sequatchie Valley
Primary |
|
John |
Patsimas |
Voting Member |
12.5% |
ACO Participant
Representative |
Family Practice Center
of Tullahoma, LLC |
|
George “Bill” |
Robertson II |
Voting Member |
12.5% |
ACO Participant
Representative |
Family Medical PC |
|
Brent |
Staton |
Voting Member |
12.5% |
ACO Participant Representative |
Staton Southern
Medical |
|
Ty |
Webb |
Voting Member |
12.5% |
ACO Participant
Representative |
Cumberland Family
Care |
|
James |
Stafne |
Voting Member |
12.5% |
Medicare Beneficiary
Representative |
N/A |
Key ACO Clinical
and Administrative Leadership:
|
ACO Executive |
Brent Staton, MD |
|
Medical Director |
Ty Webb, MD |
|
Compliance Officer |
Brent Staton, MD |
|
Quality Assurance/Improvement Officer |
Ty Webb, MD |
Associated
Committees and Committee Leadership:
|
Committee Name |
Committee Leader
Name and Position |
|
Clinical Transformation Committee |
Ty Webb MD, Chair |
|
Finance Committee |
James Spurlock DO, Chair |
|
Compliance Committee |
Brent Staton MD, Chair |
Types of
ACO Participants, or Combinations of Participants, that Formed the ACO:
Amount of
Shared Savings/Losses:
Note: Our ACO
participated in multiple performance years during Calendar Year 2019. Shared
savings/losses amount reported for Performance Year 2019 therefore represents
net shared savings or losses across all performance years in 2019 and is shown
under all agreement periods in which the ACO operated during Calendar Year
2019.
Shared
Savings Distribution:
·
Third
Agreement Period
o Performance Year 2022
§ Proportion invested in
infrastructure: 10%
§ Proportion invested in redesigned
care processes/resources: 20%
§ Proportion of distribution
to ACO participants: 70%
o Performance Year 2021
§ Proportion invested in
infrastructure: 8%
§ Proportion invested in redesigned
care processes/resources: 10%
§ Proportion of distribution
to ACO participants: 82%
o Performance Year 2020
§ Proportion invested in
infrastructure: 4%
§ Proportion invested in
redesigned care processes/resources: 9%
§ Proportion of distribution
to ACO participants: 87%
§ Proportion invested in
infrastructure: 8%
§ Proportion invested in
redesigned care processes/resources: 18%
§ Proportion of distribution
to ACO participants: 74%
Note: Our ACO participated
in multiple performance years during Calendar Year 2019. Distribution of shared
savings reported for Performance Year 2019 therefore represents the
distribution of the net shared savings across all performance years in 2019 and
is shown under all agreement periods in which the ACO operated during Calendar
Year 2019.
·
Second Agreement Period
o Performance Year 2019
§ Proportion invested in
infrastructure: 8%
§ Proportion invested in
redesigned care processes/resources: 18%
§ Proportion of distribution
to ACO participants: 74%
o
Performance Year 2018
§
Proportion invested in
infrastructure: 21%
§
Proportion invested in redesigned care processes/resources:
27%
§
Proportion of distribution to ACO participants: 52%
o
Performance Year 2017
§ Proportion
invested in infrastructure: 24%
§ Proportion invested in redesigned care processes/resources: 57%
§ Proportion of distribution to ACO participants: 19%
o Performance Year 2016
§ Proportion invested in infrastructure:
N/A
§ Proportion invested in redesigned care processes/resources: N/A
§ Proportion of distribution to ACO participants: N/A
Note: Our ACO
participated in multiple performance years during Calendar Year 2019. Distribution
of shared savings reported for Performance Year 2019 therefore represents the
distribution of the net shared savings across all performance years in 2019 and
is shown under all agreement periods in which the ACO operated during Calendar
Year 2019.
·
First Agreement Period
o
Performance
Year 2015
§ Proportion invested in infrastructure: 20%
§ Proportion
invested in redesigned care processes/resources: 25%
§
Proportion of distribution to ACO
participants: 55%
o
Performance
Year 2014
§ Proportion invested in infrastructure: 8%
§ Proportion
invested in redesigned care processes/resources: 4%
§
Proportion of distribution to ACO
participants: 0%
o
Performance
Year 2013
§ Proportion invested in infrastructure:
N/A
§ Proportion
invested in redesigned care processes/resources: N/A
§
Proportion of distribution to ACO participants:
N/A
2022 Quality Performance Results:
Quality performance results are based on CMS
Web Interface collection type.
|
Measure #: |
Measure Name |
Collection Type |
Reported
Performance Rate |
Current Year Mean
Performance Rate (SSP ACOs) |
|
001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control |
CMS Web Interface |
6.31 |
10.71 |
|
134 |
Preventive Care and Screening: Screening for Depression and Follow-up Plan |
CMS Web Interface |
93.20 |
76.97 |
|
263 |
Controlling High Blood Pressure |
CMS Web Interface |
88.06 |
76.16 |
|
318 |
Falls: Screening
for Future Fall Risk |
CMS Web Interface |
94.39 |
87.83 |
|
110 |
Preventive Care and
Screening: Influenza Immunization |
CMS Web Interface |
90.13 |
77.34 |
|
226 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention |
CMS Web Interface |
95.00 |
79.27 |
|
113 |
Colorectal Cancer Screening |
CMS Web Interface |
84.29 |
75.32 |
|
112 |
Breast Cancer Screening |
CMS Web Interface |
82.20 |
78.07 |
|
438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular
Disease |
CMS Web Interface |
96.04 |
86.37 |
|
370 |
Depression
Remission at Twelve Months |
CMS Web Interface |
32.35 |
16.03 |
|
321 |
CAHPS for MIPs |
CAHPS for MIPS
Survey |
N/A |
N/A |
|
479 |
Hospital-Wide,
30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups |
Administrative Claims |
0.1472 |
0.1510 |
|
MCC1 |
All-Cause Unplanned
Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) |
Administrative
Claims |
28.15 |
30.97 |
|
CAHPS-1 |
Getting Timely
Care, Appointments, and Information |
CAHPS for MIPS
Survey |
90.80 |
83.96 |
|
CAHPS-2 |
How Well Providers
Communicate |
CAHPS for MIPS
Survey |
96.27 |
93.47 |
|
CAHPS-3 |
Patient’s Rating of
Provider |
CAHPS for MIPS
Survey |
93.45 |
92.06 |
|
CAHPS-4 |
Access to
Specialists |
CAHPS for MIPS
Survey |
79.54 |
77.00 |
|
CAHPS-5 |
Health Promotion
and Education |
CAHPS for MIPS
Survey |
59.89 |
60.28 |
|
CAHPS-6 |
Shared Decision
Making |
CAHPS for MIPS
Survey |
59.68 |
60.97 |
|
CAHPS-7 |
Health Status and
Functional Status |
CAHPS for MIPS
Survey |
73.11 |
73.06 |
|
CAHPS-8 |
Care Coordination |
CAHPS for MIPS Survey |
86.39 |
85.46 |
|
CAHPS-9 |
Courteous and
Helpful Office Staff |
CAHPS for MIPS Survey |
95.67 |
91.97 |
|
CAHPS-11 |
Stewardship of
Patient Resources |
CAHPS for MIPS Survey |
34.04 |
25.62 |
.
For Previous Years’ Financial and
Quality Performance Results, please visit data.cms.gov.