Scripps Accountable Care Organization (ACO)
A Medicare Shared Savings Program participant
ACO name and location
Scripps Accountable Care Organization, LLC
10140 Campus Point Drive
San Diego, California 92121
ACO primary contact
Primary contact name |
Cindy Gipson |
Primary contact phone number |
|
Primary contact email address |
ACO participants
ACO participants |
ACO participant in a joint venture (Y/N) |
Scripps Health |
Y |
Torrey Pines Orthopaedic Medical Group, Inc. |
N |
San Diego Neurosurgeon One, A Professional Corporation |
N |
Christopher N. Spellman, MD, Inc. |
N |
John Harrington |
N |
Paul E. Kim, MD, Inc. |
N |
Del Mar Med, A Medical Corporation |
N |
Rocio Flores |
N |
David Shamblaw |
N |
San Dieguito Orthopedic Medical Center, A Professional Corporation |
N |
Francisco S. Pardo, MD, Inc., A Professional Corporation |
N |
Rahele Mazarei, DO, A Professional Corporation |
N |
Joseph Resnikoff |
N |
Warren Pleskow |
N |
Michael Sise |
N |
Lawrence Cooper |
N |
Russell P. Edwards, MD, A Professional Corporation |
N |
Spinezone Medical Fitness, Inc. |
N |
Edgar Ling |
N |
Theodore Mazer |
N |
Paul Phillips |
N |
Jose R. Pena, MD, A Professional Corporation |
N |
Dennis Costello |
N |
Pacific Neurology, A Medical Corporation |
N |
Frederic Martin |
N |
Peter Friend |
N |
Richard Blum |
N |
Szmidt, A Professional Medical Corporation |
N |
James J. Longobardi, DPM, Inc. |
N |
Dermatology and Laser of Del Mar |
N |
Leticia Uwedjojevwe, MD, A Medical Corporation |
|
North County Inpatient Medical Alliance, A Medical Group, Inc. |
N |
Emergency Medicine Group Of Encinitas, Inc. |
N |
Christopher Joseph Gualtieri, MD, A Professional Corporation |
N |
Jack C. Yang, MD, A Medical Corporation |
N |
Emad Tadros, MD, A Professional Corporation |
N |
San Diego Rheumatology Medical Group, Inc. |
N |
Elahe Toulouie, MD, Inc. |
|
B.S. Khehar, MD, Inc. |
N |
Salami Nuclear Cardiology Medical Group, Inc. |
N |
South Coast Gynecologic Oncology, Inc. |
N |
Medderm Corporation |
N |
Leila Rhodes, MD, Inc. |
N |
Ximed Hospitalists, Inc. |
N |
George Delgado, MD, Inc. |
N |
Steven C. Wong MD, A Professional Corporation |
N |
Kentaro E. Yamada, MD, Inc. |
N |
Pacific Orthopaedics & Sports Medicine |
N |
La Jolla Pulmonary and Critical Care, Inc. |
N |
Clara Lucy Polak, MD, Inc. |
N |
Brett J. Berman, MD, A Professional Corporation |
N |
Chula Vista Heart Clinic, Inc. |
N |
Adema Family Medicine, Inc. |
N |
Cesar Pena |
N |
Jay Berenter |
N |
Calvin K. Wong, MD, A Professional Corporation |
N |
Douglas M. Keel, DO, Inc. |
N |
Sumana & Ananthram Reddy, MD, Inc. |
N |
Revivamed Medical Corporation |
N |
Dermatology Professionals, Inc. |
N |
Michael S. Bongiovanni, MD, Inc. |
N |
Jerry M. Fabrikant, DPM, Inc. |
N |
Nayana Mohan Trivedi, MD, Inc. |
N |
Houman Dahi, MD |
N |
Synergy Medical Specialists, A Professional Corporation |
N |
James J. Chao |
N |
Expert Surgeons Of California, Inc. |
N |
Tram Le |
N |
San Diego Women's Health, Inc. |
N |
Ritvik Mehta, MD, A Professional Corporation |
N |
Vitali Aizin, MD, Inc. |
N |
Erick H. Alayo Medical Corporation |
N |
Maria Lourdes S. Mara, MD, A Medical Corporation |
N |
Perry W. Sexton, MD, A Professional Corporation |
N |
Suzanne P. Handler, MD, Inc. |
N |
San Diego Eye Group, Inc. |
N |
John A. Grimaldi, DO, Inc. |
N |
Compass Dermatopathology, Inc. |
N |
Danielle Weiss |
N |
Park Row Podiatry, Inc. |
N |
Akane Institute of Allergy, Asthma And Sleep Medicine |
N |
Genesis Healthcare Partners, A Professional Corporation |
N |
Joseph Shurman, MD, Integrative Pain Management, Inc. |
N |
Robert Afra, MD, A Professional Corporation |
N |
Frank E. Mayer, MD, A Professional Corporation |
N |
Del Mar Dermatology, A Medical Corporation |
N |
Carlos F. Jimenez, MD |
N |
M. Hertzel Soumekh, MD, A Professional Corporation |
N |
David G. Smith, MD, A Professional Corporation |
N |
James Santiago Grisolia, MD, Inc. |
N |
Julian Lichter, MD, A Professional Corporation |
N |
North County Neurology Associates |
N |
Lawrence D. Eisenhauer, MD, Inc., Lawrence D. Eisenhauer, MD, Officer |
N |
Pierre G. Rivet, MD, A Medical Corporation |
N |
Bradley W. Greider, MD, Inc. |
N |
Duc Dinh Vo, MD, Inc. |
N |
Bijan Razi |
N |
Southern California Health Providers Medical Group, Inc. |
N |
Gregory J. Wiener, MD, A Professional Corporation |
N |
Luis Sanchez |
N |
Theodore Mazer |
N |
Richard M. and Donald R. Green Partners, DBA, San Diego Podiatry Group |
N |
Andrew Deemer, MD |
N |
L. Dale Lapp, MD, Inc. |
N |
La Jolla Gastroenterology Medical Group, Inc. |
N |
Ear Nose And Throat Associates Of San Diego, A Medical Corporation |
N |
Luis M. Marquez, MD, Inc. |
N |
Acute Care Associates, Inc. |
N |
Piyush (Phil) Kumar, MD, Inc. |
N |
Cardiac Arrhythmia Associates, A Medical Corporation |
N |
Perry, Pratt, & Coden, A Medical Corporation |
N |
Jeffry A. Mullvain, MD, Inc. |
N |
San Diego Cardiovascular Associates Medical Group, Inc. |
N |
Scott A. Eisman, MD, Inc. |
N |
Daniel Michaels, MD, Inc. |
N |
Rapeport Medical Corporation |
N |
Medicus MD, Inc., A Delaware Corporation |
N |
Pacific ENT Medical Group, Inc. |
N |
Joseph B. Stein, MD, FACC, Inc. |
N |
Alan C. Westeren, MD, Inc. |
N |
Alisa L Williams, MD, FACOG, Inc. |
N |
Marc M. Sedwitz, MD, Inc. |
N |
Radiology Medical Group, Inc. |
N |
Roman B. Cham, MD, Inc. |
N |
Balboa Park Internal Medicine, Medical Associates, Inc. |
|
Jon Kelly |
N |
Clearview Eye & Laser Medical Center, A Medical Corporation |
N |
Bradley L. Spitz, MD, Inc. |
N |
Billie Green, Medical Corporation |
N |
Eileen S. Natuzzi, A Medical Corporation |
N |
Joseph Resnikoff, MD |
N |
Edgar Ling |
N |
Ronald E. Lieberman, DPM |
N |
RJ Fernandez, MD, Inc., A Professional Corporation |
N |
Bone Builders Medical Clinic |
N |
Hillcrest Internal Medicine, A Medical Corporation |
N |
Robert Houghton, MD, Inc. |
N |
Scott Mercer, MD, Inc. |
N |
Gil Q. Galloway, MD, Inc. |
N |
San Diego Arrhythmia Associates, A Medical Corporation |
N |
Dana P. Launer, MD, and M. Jonathan Worsey, MD, A Professional Corporation |
N |
Carmel Valley Family Practice |
N |
La Jolla Cardiovascular Medical Associates, Inc. |
N |
Venustano Guerra |
N |
Ngocbich Nguyen, MD, Inc. |
N |
Bijan Razi |
N |
Dori Neill Cage, MD, Inc. |
N |
Jonathan Licht |
N |
Vishal Bansal, MD |
N |
Thomas Diggs |
N |
David Shamblaw |
N |
Ali Salami |
N |
Shervin Alborzain, MD, A Professional Corporation |
N |
Hanh M. Bui, MD, A Professional Medical Corporation |
N |
Renjit Sundharradas, MD, A Professional Corporation |
N |
Scripps Health Inpatient Providers Medical Group, Inc. |
N |
Kelly S. Keefe, MD, Inc. |
N |
Synergy Specialists Medical Group |
N |
Chia-Lin Charles Liu, DO, Inc. |
N |
San Diego SNF Hospitalists |
N |
Lars R. Newsome, MD, Inc. |
N |
San Diego Heart Rhythm Center, A Medical Corporation |
N |
North County Laser Eye Associates, A Professional Corporation |
N |
NR Medical Associates |
N |
Timothy A. Peppers, MD, Inc. |
N |
Jamieson Glenn, MD, Inc. |
N |
Minimally Invasive Surgeons Of North County, Inc. |
N |
Sherev Heart and Vascular Clinic, Inc. |
N |
Frederick J. De La Vega, MD |
N |
Tram Le |
N |
Brian Belnap, DO, A Medical Corporation |
N |
Comprehensive Surgical Associates, MD, A Professional Corporation |
N |
Richard Friedman |
N |
Keeran Kumar, MD, Inc. |
N |
Wayne Whitwam |
N |
Kevin T. Toliver, MD, Inc. |
N |
Asim Guha Roy |
N |
Coastal Pain & Spinal Diagnostics Medical Group, Inc. |
N |
Michael T. Couris, MD, Inc. |
N |
Mark Johnson |
N |
Garrett J. Tallman, MD, Inc. |
N |
James Cordell |
N |
Peter Seymour |
N |
Catharine Marshall |
N |
Patricia Forg, MD |
N |
Taram Dabo |
N |
Danielle Weiss |
N |
Andrew Deemer |
N |
Dan I. Giurgiu MD Professional Corporation |
N |
Walter Jolley, DPM, A Professional Corporation |
N |
Michael Torrente |
N |
Bruce Kimura |
N |
Luis Sanchez |
N |
Asim Guha Roy |
N |
Peter Seymour |
N |
Kiyon Chung, MD |
N |
Fakhri M. Salem, MD, Inc. |
N |
Wun-Ling Chang, MD, Inc. |
N |
James Cordell |
N |
California Cancer Associates for Research & Excellence, Inc. |
N |
Catharine Marshall, MD |
N |
San Diego Eyelid Specialists, Inc. |
N |
Peter Morcos, MD, Inc. |
N |
Nora El-Khatib, MD, Inc. |
N |
Gordon Schanzlin New Vision Institute, Inc., A Professional Medical Corporation |
N |
Sudhir Malik, A Professional Medical Corporation |
N |
Amanda Abramson Lloyd, MD, Inc. |
N |
Peter James Lloyd, MD, Inc. |
N |
Nii Aryee Tetteh, MD, Inc. |
N |
Chula Vista Emergency Room Physicians, A Medical Corporation |
N |
San Diego Pathologists Medical Group, Inc. |
N |
San Diego Mental Health Associates Medical Clinic, Inc. |
N |
California Orthopaedic Institute Medical Associates, Inc. |
N |
North County Gastroenterology Medical Group, Inc. |
N |
Centro De Salud De La Comunidad De San Ysidro, Inc. |
N |
South Bay Skin And Cancer Medical Group, Inc. |
N |
Tricity Orthopaedic Surgery Medical Group, Inc. |
N |
San Diego Orthopaedic Associates Medical Group, Inc. |
N |
North County Oncology Medical Clinic, Inc. |
N |
San Diego Gastroenterology Medical Associates |
N |
Girard Orthopedic Surgeons Medical Group, Inc. |
N |
Jeffrey A. Sandler, MD |
N |
Howard Miller, MD, A Professional Corporation |
N |
Paul M. Goodman, MD, A Medical Corporation |
N |
Warren Pleskow |
N |
Stewart L. Frank, MD, Inc. |
N |
James P. Hatfield, DPM, Inc. |
N |
Surgical Associates of La Jolla Medical Group, Inc. |
N |
Jerrold Glassman, MD, A Medical Corporation |
N |
Nancy Sajben |
N |
Franklin W. Lusby MD, Inc. |
N |
ACO governing body
Last name |
First name |
TItle/Position |
Voting power |
Membership type |
ACO participant TIN legal business name |
Hirsch |
Kevin |
MD, Chair |
1 |
ACO Participant Representative |
Scripps Health |
Dworsky |
Dan |
MD |
1 |
ACO Participant Representative |
Scripps Health |
Eisman |
Scott |
MD |
1 |
ACO Participant Representative |
Acute Care Associates, Inc. and Coastal Pulmonary Associates, Inc. |
LaBelle |
James |
MD |
0 |
ACO Participant Representative |
Scripps Health |
Polak |
Clara |
MD |
1 |
ACO Participant Representative |
Clara Lucy Polak, MD |
Sarnoff |
Robert |
MD |
1 |
ACO Participant Representative |
Scripps Health |
Tjosvold |
Robert |
|
1 |
Medicare Beneficiary Representative |
N/A |
Van Gorder |
Chris |
|
1 |
ACO Participant Representative |
N/A |
Worsey |
Michael |
MD |
1 |
ACO Participant Representative |
San Diego Colon and Rectal Surgeons |
Key ACO clinical and administrative leadership
Barbara Price |
ACO Executive
|
Anil Keswani, MD |
Medical Director |
Taunya Juliano |
Compliance Officer |
Maureen Wade |
Quality Assurance/Improvement Officer
|
Associated committees and committee leadership
Committee name |
Committee leader name and position |
Network Alignment |
Barbara Price, ACO Executive |
Utilization Management |
Anil Keswani, MD, ACO Medical Director |
Credentialing |
Anil Keswani, MD, ACO Medical Director |
Communications |
Barbara Price, ACO Executive |
Clinical Care Line Council |
James LaBelle, ACO Participant Representative
|
Quality Committee |
Anil Keswani, MD, ACO Medical Director |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Hospital employing ACO professionals
Shared savings and losses
Amount of Shared Savings/Losses
- N/A
Shared Savings Distribution
- N/A
Quality performance results
2016 quality performance results
Measure number |
Performance measure |
Rate |
ACO mean |
ACO #1 |
CAHPS: Getting Timely Care, Appointments, and Information |
N/A |
80.51 |
ACO #2 |
CAHPS: How Well Your Providers Communicate |
N/A |
93.01 |
ACO #3 |
CAHPS: Patients’ Rating of Provider |
N/A |
92.25 |
ACO #4 |
CAHPS: Access to Specialists |
N/A |
83.49 |
ACO #5 |
CAHPS: Health Promotion and Education |
N/A |
60.32 |
ACO #6 |
CAHPS: Shared Decision Making |
N/A |
75.40 |
ACO #7 |
CAHPS: Health Status/Functional Status |
N/A |
72.30 |
ACO #34 |
CAHPS: Stewardship of Patient Resources* |
N/A |
26.97 |
ACO #8 |
Risk Standardized, All Condition Readmission |
N/A |
14.7 |
ACO #35 |
Skilled Nursing Facility 30 Day All Cause Readmission Measure (SNFRM) |
N/A |
18.17 |
ACO #36 |
All-Cause Unplanned Admissions for Patients with Diabetes* |
N/A |
53.20 |
ACO #37 |
All-Cause Unplanned Admissions for Patients with Heart Failure* |
N/A |
75.23 |
ACO #38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
N/A |
59.81 |
ACO #9 |
Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) |
N/A |
9.27 |
ACO #10 |
Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) |
N/A |
14.53 |
ACO #11 |
Percent of PCPs Who Successfully Meet Meaningful Use Requirements |
N/A |
82.72 |
ACO #39 |
Documentation of Current Medications in the Medical Record* |
N/A |
87.54 |
ACO #13 |
Falls: Screening for Fall Risk |
N/A |
64.04 |
ACO #14 |
Preventive Care and Screening: Influenza Immunization |
N/A |
68.32 |
ACO #15 |
Pneumonia Vaccination Status for Older Adults |
N/A |
69.21 |
ACO #16 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up |
N/A |
74.45 |
ACO #17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
N/A |
90.98 |
ACO #18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
N/A |
53.63 |
ACO #19 |
Colorectal Cancer Screening |
N/A |
61.52 |
ACO #20 |
Breast Cancer Screening |
N/A |
67.61 |
ACO #21 |
Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented |
N/A |
76.79 |
ACO #42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
N/A |
77.72 |
ACO #27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
N/A |
18.24 |
ACO #41 |
Diabetes: Eye Exam* |
N/A |
44.94 |
ACO #28 |
Hypertension (HTN): Controlling High Blood Pressure |
N/A |
70.69 |
ACO #30 |
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic |
N/A |
85.05 |
ACO #31 |
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) |
N/A |
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%) |
N/A |
79.67 |
Please note, the ACO-40 Depression Remission at 12-months quality measure is not included in public reporting due to low samples.
Payment rule waivers
- Yes, our ACO does use the SNF 3-Day Rule Waiver
- Link to Public Disclosure of an arrangement for which ACO waiver protection is sought