• Phoenix-Tucson
    Integrated
    Kidney Care ESCO

    An ESRD Seamless Care Organization

ESCOs: A Way to Better Coordinate Patient Health Care

The Phoenix-Tuscon Integrated Kidney Care ESCO is an ESRD Seamless Care Organization (ESCO) in the Medicare Comprehensive ESRD Care model. An ESCO is a group of dialysis facilities, nephrologists, and other health care providers working together with Medicare to coordinate and improve the quality of care for patients.

We're Working to Improve Patient Care

The goal of an ESCO is for dialysis facilities, nephrologists, and other health care providers to communicate closely with other health care providers, so they can deliver high-quality care that meets the individual needs and preferences of the patient.

Phoenix-Tucson Integrated Kidney Care ESCO Benefits

Patients, physicians and payors all benefit from ESCO’s integrated care management approach:

  • A specially trained nurse working with the Phoenix-Tucson Integrated Kidney Care ESCO member, family, dialysis team, doctors and care partners.
  • Coordinated support both inside and outside of the dialysis center to help the member better understand and manage their ESRD.
  • Nursing team available 24 hours a day/7 days a week at no additional charge to members.
  • Patients have the right to use any dialysis facility, provider or hospital that accepts Medicare, at any time.
  • Medicare benefits will not change. An ESCO is not a Medicare Advantage plan, a Health Maintenance Organization (HMO) plan, or an insurance plan of any kind.

Meet the ESCO Team

Phoenix-Tucson Integrated Kidney Care ESCO
2000 16th Street
Denver, CO 80202

Primary Contact
Mark Reiland, Director-Operations, DaVita Integrated Kidney Care
602-312-8085
Mark.Reiland@davita.com

About Your ESCO

Clinical and Administrative Leadership

  • Mike Staffieri, President, DaVita Inc.
  • Nathan Lohmeyer, Vice President, DaVita Integrated Kidney Care
  • Eric Franco, Treasurer and Finance and Reporting Officer, DaVita Integrated Kidney Care
  • Mark Reiland, Secretary, Integrated Kidney Care
  • Rajiv Poduval, M.D., Nephrologist Representative, Southwest Kidney Institute PLC
  • Brett Lindenfeld, Compliance Officer, DaVita Inc.
  • Sean Graham, Dialysis Center Operations Officer, DaVita Inc.
  • Sean Best, Information Technology Officer, DaVita Inc.
  • Chuck Lehn, Health System Representative, Banner Health

ESCO Participants

Participants in the Phoenix-Tucson Integrated Kidney Care ESCO include:

Health System

Banner Health

  • Banner Baywood Medical Center
  • Banner Boswell Medical Center
  • Banner Del E. Webb Medical Center
  • Banner Desert Medical Center
  • Banner Estrella Medical Center
  • Banner Gateway Medical Center
  • Banner University Medical Center Phoenix
  • Banner Thunderbird Medical Center
  • Banner Ironwood Medical Center
Dialysis Providers

DaVita, Inc

  • Desert Mountain Dialysis
  • Papago Dialysis Center
  • Tucson East At Home
  • Tucson East Dialysis
  • Tucson South Central Dialysis
  • Tucson South Dialysis

Nephrologists Group

Southwest Kidney Institute

  • Amandeep Khurana
  • Amir Gerges
  • Ankur Patel
  • Anup Rai
  • Asan Ariff
  • Aslam Pervez
  • Berne Yee
  • Bindu Jayavelu
  • Clyde Mendonca
  • Randy Cooper
  • Rajiv Poduval
  • Richard Flick
  • PLC
  • Robert Cohen
  • Ronald Hyde
  • Sandip Patel
  • Sarabjit Bhalla
  • Shailesh Patel
  • Shefali Gupta
  • Stephen Schinker
  • Teh-Li Huo
  • Theodore Tzeremas
  • Umar Waheed
  • Vasudevan Nair
  • Yun Chong
  • Mario Torres
  • Melissa Go
  • Mindy Jan
  • Mohammed Sikder
  • Nandini Sharma
  • Paul Lui
  • Paul Walshaw
  • Pradeep Mehra
  • Cory Kempton
  • Daniel Castro-Pereira
  • Divya Malladi
  • Donn Hogan
  • Ebie Varghese
  • Edward Park
  • Firas Marayati
  • Fredrick Osorio
  • Gabriel El-Kass
  • Gurdev Singh
  • Himabindu Chaparala
  • Jeffrey Laiserin
  • Kariappa Appachu
  • Luyi De Prada
  • Mandip Kang
  • Marc Olivier

Joint Venture Dialysis Provider

Barton Dialysis, LLCs

  • Tucson Central Dialysis

Desert Rocks Dialysis, LLC

  • Sweetwater Ridge Dialysis

Grand Home Dialysis, LLC

  • Grand at Home
  • Grand at Home Dialysis Pd/Hhd

Northwest Tucson Dialysis, LLC

  • Northwest Tucson Dialysis

SKDDP, LLC

  • Phoenix Home Dialysis

Southwest Kidney-DaVita Dialysis Partners, LLC

  • Brookwood Dialysis Center
  • Central Mesa Dialysis Center
  • Estrella Dialysis Center
  • Estrella Dialysis Center PD
  • Fountain Hill Dialysis
  • Gilbert Dialysis Center
  • Maryvale Dialysis Center
  • Mountain Vista Dialysis Center
  • Ocotillo Dialysis
  • Phoenix Dialysis Center
  • Power Road Dialysis PD
  • Raven Dialysis Center
  • Wickenburg Dialysis

Sun City Dialysis Center, LLC

  • Palm Brook Dialysis Center

Sun City West Dialysis Center, LLC

  • Westbrook Dialysis

Sun Desert Dialysis Center, LLC

  • Desert Dialysis

Governing Body

Governing body members of the Phoenix-Tucson Integrated Kidney Care ESCO:

  • Rajiv Poduval, M.D., Governing Director, Southwest Kidney Institute PLC
  • Gurdev Singh, M.D., Governing Director, Southwest Kidney Institute PLC
  • Chuck Lehn, Governing Body Member, Banner Health
  • Mark Reiland, Governing Director, DaVita Integrated Kidney Care
  • Sean Graham, Governing Director, DaVita Inc
  • James Ivie, Governing Director, National Kidney Foundation

Shared Savings

For nearly two decades, DaVita has invested, and continues to invest, in building the infrastructure and capabilities to holistically care for ESRD (End Stage Renal Disease) and CKD (Chronic Kidney Disease) beneficiaries. Our goal is to prepare for a future when integrated care is available to all patients. The ESCOs (ESRD Seamless Care Organizations) are one vehicle in which DaVita provides integrated care to our patients.

Amount of Shared Savings/Shared Losses

Performance Year 1 $1,840,316.00
Performance Year 2 $1,487,379.00
Performance Year 3 TBD (2019)
Performance Year 4 TBD (2020)
Performance Year 5 TBD (2021)

As a participant in CMS’s (Centers for Medicare & Medicaid Services) Comprehensive ESRD Care (CEC) Model, the Phoenix-Tucson ESCO is a joint venture comprised of dialysis facilities, nephrologists and health systems. The Phoenix-Tucson ESCO achieved more than $1.8M in shared savings in Performance Year 1, which ran from October 2015 through December 2016. The Phoenix-Tucson ESCO returned 100% of the shared savings that it earned to its participant owners, who, in turn, used a portion of those savings to recoup their upfront financial investments in the ESCO venture, including infrastructure for Performance Year 1 and future years. The ESCO participants elected to reinvest any remaining surplus shared savings into redesigned care processes to support ESRD Medicare beneficiaries who are aligned to the ESCO.

During Performance Year 2 (calendar year 2017), the ESCO generated nearly $1.5 million in shared savings.  All shared savings continue to be reinvested in the ESCO’s infrastructure and other resources required to improve clinical outcomes.

Quality Measures

For performance year 1, all quality measures were in pay-for-reporting status. The Phoenix-Tucson ESCO successfully reported on all ESCO quality measures for a total quality score (TQS) of 100%. During performance year 2, the ESCO achieved a total quality score of 81.94%, slightly higher than the overall average of 80.56% for all other ESCOs.

Patient Safety

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Standardized Mortality Ratio 1.079 0.923 1.084
0.935
Falls: Screening 68.4% 85.6% 98% 93.3%
Falls: Risk Assessment 96% 99.7% 100% 98.0%
Falls: Plan of Care 0% 7.2% 100% 21.9%

Person- and Caregiver-Centered Experience and Outcomes

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Advance Care Plan 58.9% 84.2% 99.3%
93.2%
ICH CAHPS: Nephrologists' Communication and Caring 65.4% 67.8% 65.9% 67.7%
ICH CAHPS: Providing Information to Patients 81.7% 78.7% 82.3% 79.3%
ICH CAHPS: Dialysis Center Care and Operations 63.0% 60.9% 63.0% 61.5%
ICH CAHPS: Rating of Kidney Doctors 56.8% 59.6% 58.1% 59.0%
ICH CAHPS: Rating of Dialysis Center Staff 65.9% 59.5% 65.9% 60.6%
ICH CAHPS: Rating of Dialysis Center 73.0% 64.7% 71.8% 65.8%

Communication and Care Coordination

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Medication Reconciliation Post Discharge 49% 46.9% 77.4% 38.8%

Clinical Quality of Care

Measure Title ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1 ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Diabetes Care: Eye Exam 1.6% 4.0% 10.2% 22.5%
Diabetes Care: Foot Exam 2.0% 2.0% 3.2% 62.9%

Population Health

Measure Title ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1 ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Influenza Immunization in the ESRD Population 75.2% 71.3% 92.9%
77.7%
Pneumococcal Vaccination Status 49.9% 43.7% 99.5% 72.3%
Screening for Clinical Depression and Follow-Up Plan 60.3% 72.8% 90.8% 85.4%
Tobacco Use: Screening and Cessation Intervention 68.1% 74.8% 99.5% 85.9%

Questions?

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Call 1-833-IKC-DAVITA (452-3284)
TTY users dial 711

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Or call 1-800-MEDICARE
(1-800-633-4227)

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TTY users call
1-877-486-2048