Healthcare Quality

Committed to improving the quality of care.

 

Based on financial performance and quality, we are recognized as one of the top 10 ACOs in the United States serving Medicare beneficiaries, under the Medicare Shared Savings Program (MSSP). More specifically, we are number 7 out of more than 600 ACOs located throughout the country, for Medicare savings.

 

Our Accountable Care Network (ACN) has saved the Centers for Medicare & Medicaid Services (CMS) more than $73 million over the past three years, including over $37 million in 2016, while maintaining top tier Quality Scores. The SWHRACN manages care for nearly 87,500 Medicare beneficiaries, which is one of the largest patient populations managed by an ACO in the state.

 

Excellence is part of who we are.

 

As one of the pioneer participants in the Medicare Shared Savings Program, the Southwestern Health Resources ACN has maintained a 95 percent or better Quality Score since launching in 2014 while saving:

 
2014
2015
2016

$73 Million Saved: Our History of Success

Southwestern Health Resources has saved millions since participating in Medicare Shared Savings Program.

2013

ACO infrastructure formed

2014

MSSP contract became effective

2015

6th largest MSSP ACO in U.S.

  • $30 million in savings
  • $14.5 million in revenue
  • Top quartile in overall quality scores
2016

Better results than 2015

  • $17.5 million in savings
  • Quality Score over 95 percent

We’re proud of our quality performance scoring measures.

Quality data reporting and collection support quality measurement are an important part of the Medicare Shared Savings Program (MSSP). These are SWHRACN 2016 results for five of the 33 quality areas CMS measures.

93.4
ACO02 How Well Providers Communicate

Patient/Caregiver Experience

94.2
ACO3 Patients’ Ratings of Providers

Patient/Caregiver Experience

94.8
ACO17 Tobacco Use: Screening and Cessation Intervention

Preventive Care

92.9
ACO31 Heart Failure: Beta-Blocker Treatment for Patients with Left Ventricular Systolic Dysfunction

At Risk Population

91.6
ACO9 COPD and Asthma

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

Care Coordination / Patient Safety