UC San Diego Health Accountable Care Network

A Medicare Shared Savings Program Accountable Care Organization

UC San Diego Health Accountable Care Network is a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO). More specifically, this MSSP ACO is a Track 1+, and includes UC San Diego Health faculty and facilities, community hospitals, and community primary care providers and specialists serving more than 30,000 beneficiaries in San Diego, Riverside and Imperial Counties.

Mission

The UC San Diego Health Accountable Care Network supports the CMS three-part aim of improving patient experience of care, improving the health of populations, and providing more efficient and effective care. The ACO leverages our experienced integrated care teams to deliver high-quality, value-based care with support from regional hospitals and community physician practices.

Background on the Formation of the UC San Diego Health Accountable Care Network

The formation of UC San Diego Health Accountable Care Network (ACO) follows the successful development of UC San Diego Health Physician Network, a clinically integrated network. In 2014, UC San Diego Health began formally integrating with community physicians and local hospitals, collaborating on administrative functions, business and clinical initiatives to improve efficiencies and benefit patients.  Today, UC San Diego Health is aligned with Tri-City Medical center in Oceanside, El Centro Regional Medical Center in El Centro, and more than 250 select community physicians and specialists from San Diego, Imperial, and Riverside Counties. 

These partnerships support acute in-patient care and a spectrum of outpatient primary and specialty medical and surgical services, including ambulatory and emergency patient care. 

Similar to the development of the Physician Network, UC San Diego Health established extensive qualifying parameters for its selection of providers into the Accountable Care Network. Accountable Care Network participants meet high standards for patient care, patient satisfaction, and commitment to reporting on quality measures and patient outcomes. 

Accountable Care Network Participants agree to:

  • Actively participate in the ACO’s governance committees and partnership with our staff.
  • Regularly attend Quality Committee meetings, and periodic specialty area subgroup meetings to review and develop quality measures and protocols.
  • Continually monitor best practice care protocols and patient experience.
  • Use a federally certified EMR system and actively share population health information from their EMR to support patient care.
  • Meet and comply with our data-sharing requirements and quality reporting initiatives.

Accountable Care Network Components

Clinical Faculty: Clinical care at UC San Diego Health is provided by over 800 physicians. The clinical faculty includes 100 primary care physicians, over 700 specialist physicians in 40 specialties, and hundreds of non-MD providers. 

UC San Diego Health Physician Network: The clinically integrated network includes over 250 providers and nearly 30 affiliated community practices.  

UC San Diego Health Accountable Care Network participant practices include providers in the following medical fields:

Addiction Medicine
Allergy /Immunology
Arthritis (Rheumatology)
Audiology
Burn Center
Cancer (Oncology)
Cardiovascular Services
Critical Care Medicine
Dermatology
Emergency Services
Endocrinology & Diabetes
ENT / Head & Neck
Gastroenterology

Genetics
Gynecology
Hematology / Blood Diseases
Hepatology (Liver)
Infectious Disease
Nephrology (Kidney)
Neurology
Neurosurgery
Nutrition Counseling
Ophthalmology
Orthopedics & Spine
Pain & Palliative Medicine

Podiatry
Primary Care

Psychiatry
Pulmonology (Lung)
Radiology (Imaging Services)
Rehabilitation Services
Sleep Medicine
Sports Medicine
Surgical Services
Transplantation
Urgent Care
Urology

 

To learn more about participation in UC San Diego Health Accountable Care Network, visit our ACO FAQ page


For More Information

Duncan Campbell
Chief Operating Offer, Population Health Services Organization
UC San Diego Health
O: 858-249-0279
E: physiciannetwork@ucsd.edu





ACO Provider Resources

Are you an existing ACO participant provider looking for training resources, compliance information, forms, and patient care information? Go to ACO Provider Resources.

Contact Medicare

For general questions or additional information about Accountable Care Organizations, please visit medicare.gov/acos.html or call 1-800 MEDICARE (800-633-4227). TTY users should call 1-877-486-2048.