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Accountable Care Organization (ACO) - Public Report

ACO Name and Location:

Billings Clinic
2800 Tenth Ave North
Billings, MT 59101-7000

ACO Primary Contact:

Jan Bechtold

Organizational Information:

ACO Participants:

Billings Clinic as an organization represents the entire composition of the Billings Clinic ACO. The following locations of Billings Clinic participate in our ACO:

  • Billings Clinic main campus (all services)
  • Billings Clinic West
  • Billings Clinic Heights
  • Billings Clinic Miles City
  • Billings Clinic Cody
  • Bozeman OB/GYN

ACO Participants in Joint Ventures between ACO Professionals and Hospitals:

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

The Billings Clinic Board of Directors serves as the governing body for the Billings Clinic ACO. All board members are voting members of the Billings Clinic ACO Board.

  • David Brown - Chairman - Community Stakeholder Representative
  • Joy Ott - Vice Chair - Community Stakeholder Representative
  • Elizabeth (Liz) Fulton - Treasurer- Community Stakeholder Representative
  • Lil Anderson - Secretary - Medicare Beneficiary Representative
  • Craig Bartholomew - Member - Community Stakeholder Representative
  • Keith Cook - Member - Community Stakeholder Representative
  • Clayton "Tersh" McCracken, MD - Member - ACO Participant Representative - Billings Clinic
  • Penni Nance - Member - Community Stakeholder Representative
  • Robert Pueringer, MD - Member - ACO Participant Representative - Billings Clinic
  • Frank Reed, MD - Member - Community Stakeholder Representative
  • Aaron Sparboe - Member - Community Stakeholder Representative
  • Nicholas Wolter, MD - Ex Officio Member - ACO Participant Representative - Billings Clinic

Key ACO Clinical and Administrative Leadership / Associated Committees and Committee Leadership:

Billings Clinic Organizational Chart

Click to Enlarge Image

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

ACO professionals in a group practice management

Shared Savings/Losses

Amount of Shared Savings / Losses:

  • Performance Year 1: $0
  • Performance Year 2014: $0

How Shared Savings Are Distributed

Because Billings Clinic is the sole member of the ACO any Shared Savings will be reinvested in our infrastructure to continue our mission of health care, education, and research.

Quality Performance Results

Quality Performance Results Table

Measure Number Performance Measure 2013 Reporting Period 2014 Reporting Period
ACO Performance Rate Mean Performance Rate for All ACOs ACO Performance Rate Mean Performance Rate for All ACOs
ACO #1 Getting Timely Care, Appointments, and Information N/A N/A 79.97 80.13
ACO #2 How Well Your Doctors Communicate N/A N/A 91.13 92.39
ACO #3 Patients’ Rating of Doctor N/A N/A 90.08 91.58
ACO #4 Access to Specialists N/A N/A 84.32 83.97
ACO #5 Health Promotion and Education N/A N/A 57.11 58.29
ACO #6 Shared Decision Making N/A N/A 72.57 74.60
ACO #7 Health Status/Functional Status N/A N/A 72.66 71.10
ACO #8 Risk Standardized, All Condition Readmissions 13.62 14.90 14.16 15.15
ACO #9 ASC Admissions: COPD or Asthma in Older Adults 0.86 1.17 1.05 1.08
ACO #10 ASC Admissions: Heart Failure 0.61 1.20 0.57 1.19
ACO #11 Percent of PCPs who Qualified for EHR Incentive Payment 80.70% 66.21% 90.77% 76.71%
ACO #12 Medication Reconciliation N/A N/A 54.26% 82.61%
ACO #13 Falls: Screening for Fall Risk N/A N/A 90.80% 45.60%
ACO #14 Influenza Immunization N/A N/A 95.77% 57.51%
ACO #15 Pneumococcal Vaccination N/A N/A 88.32% 55.03%
ACO #16 Adult Weight Screening and Follow-Up N/A N/A 95.15% 66.75%
ACO #17 Tobacco Use Assessment and Cessation Intervention N/A N/A 99.51% 86.79%
ACO #18 Depression Screening N/A N/A 88.75% 39.27%
ACO #19 Colorectal Cancer Screening N/A N/A 72.51% 56.14%
ACO #20 Mammography Screening N/A N/A 72.82% 61.41%
ACO #21 Proportion of Adults Who Had Blood Pressure Screened in Past 2 Years N/A N/A 43.31% 60.24%
ACO #22 Hemoglobin A1c Control (HbA1c) (<8 percent) N/A N/A 83.94% N/A
ACO #23 Low Density Lipoprotein (LDL) (<100 mg/dl) N/A N/A 64.72% N/A
ACO #24 Blood Pressure (BP) <140/90 N/A N/A 77.86% N/A
ACO #25 Tobacco Non Use N/A N/A 85.89% N/A
ACO #26 Aspirin Use N/A N/A 97.78% N/A
ACO #27 Percent of Beneficiaries with Diabetes Whose HbA1c in Poor Control (>9 percent) N/A N/A 8.27% 20.35%
ACO #28 Percent of Beneficiaries with Hypertension Whose BP <140/90 N/A N/A 71.78% 68.02%
ACO #29 Percent of Beneficiaries with IVD with Complete Lipid Profile and LDL Control <100 mg/dl N/A N/A 56.20% 57.29%
ACO #30 Percent of Beneficiaries with IVD Who Use Aspirin or Other Antithrombotic N/A N/A 89.05% 80.79%
ACO #31 Beta-Blocker Therapy for LVSD N/A N/A 92.31% 82.71%
ACO #32 Drug Therapy for Lowering LDL Cholesterol N/A N/A 76.53% N/A
ACO #33 ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD N/A N/A 86.32% N/A

For more information on how to interpret scores on the above quality performance measures, see

Related Information

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