Redwood Community Health Coalition, Santa Rosa Community Health Centers, West County Health Centers and Petaluma Health Center formed the Redwood Community Care Organization LLC, (RCCO) in 2012. The Centers for Medicare & Medicaid Services (CMS) accepted RCCO as a Medicare ACO through the Shared Savings Program beginning January 1, 2014. The RCCO ACO is implemented in collaboration with Alliance Medical Center and Ole Health.  Accountable Care Organizations (ACOs) were created under the Affordable Care Act to help doctors, hospitals, and other health care providers to facilitate coordination and cooperation among providers to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and reduce unnecessary costs.  For more information please contact Claire Cain or click on the logo below to visit the RCCO website.

Redwood Community Care Organization, LLC, was formed in 2012 and accepted into the Medicare Shared Savings Program for Accountable Care Organizations as of January 2014.  RCCO is located in Sonoma, Marin and Napa Counties.

ACO Name and Location

Redwood Community Care Organization, LLC
1310 Redwood Way
Suite 135
Petaluma, California 94954

ACO Primary Contact

Primary Contact Name Claire Cain
Primary Contact Phone Number 707-285-2962
Primary Contact Email Address ccain@rchc.net

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Ole Health N
West County Health Centers, Inc. N
Santa Rosa Community Health Centers N
Petaluma Health Center Inc N
Alliance Medical Center 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
Szecsey Mary Executive Director, West County Health Centers .20 Voting Member West County Health Centers, Inc.
Fuchs Naomi CEO, Santa Rosa Community Health .20 Voting Member Santa Rosa Community Health Centers
Ward Lisa CMO, Santa Rosa Community Health .20 Voting Member Santa Rosa Community Health Centers
Cunningham Jason Medical Director, West County Health Centers .20 Voting Member West County Health Centers, Inc.
Foley Virginia Medicare Beneficiary Representative .20 Voting Member N/A

 Key ACO clinical and administrative leadership:

Mary Szecsey ACO Executive
Jason Cunningham Medical Director
Lori Hack Compliance Officer
Jason Cunningham Quality Assurance/Improvement Officer

 Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
ACO Compliance Committee Lori Hack, Chair
Finance Committee Mary Szecsey and Harold Brockman, Co-Chairs
Data Quality & Clinical Interventions Workgroup Jason Cunningham, Chair
   

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

  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • First Agreement Period
    • 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
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • 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

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 75.81 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 93.68 92.63
ACO-3 CAHPS: Patients’ Rating of Provider 92.01 91.93
ACO-4 CAHPS: Access to Specialists 78.75 83.52
ACO-5 CAHPS: Health Promotion and Education 65.18 60
ACO-6 CAHPS: Shared Decision Making 77.9 75.28
ACO-7 CAHPS: Health Status/Functional Status 67.62 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 27.35 27.52
ACO-8 Risk-Standardized, All Condition Readmission 14.08 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 16.74 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 52.54 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 83.29 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.46 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 7.1 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 10.65 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 87.76 82.72
ACO-39 Documentation of Current Medications in the Medical Record 73.95 87.54
ACO-13 Falls: Screening for Future Fall Risk 33.46 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 49.62 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 68.58 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 63.57 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79.62 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 53.82 53.63
ACO-19 Colorectal Cancer Screening 40.98 61.52
ACO-20 Breast Cancer Screening 58.33 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 81.25 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.99 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 23.97 18.24
ACO-41 Diabetes: Eye Exam 43.45 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 66.93 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 83.6 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 96.88 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%) 76.47 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 “Redwood Community Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A50496 in the public use files on data.cms.gov.

Payment Rule Waivers

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