ACO Name and Location. ACO Primary Contact. Michele Muldoon. Organizational Information. Primary Contact Name

Transcription

1 ACO Name and Location Healthy Communities ACO, LLC 255 Lafayette Ave. Suffern, New York ACO Primary Contact Primary Contact Name Michele Muldoon Primary Contact Phone Number (845) Primary Contact Address Organizational Information ACO s: ACO Participants ACO Participant in Joint Venture (Enter Y or N) No ACO governing body: Member Last Name First Name Title/Position Member's Voting Power Membership Type Leahy Mary MD, Chair yes ACO Devir John yes Medicare Beneficiary Representative Wollenhorst John yes ACO representative, Parent Organization Kenniff Peter CFO yes ACO Muldoon Michele VP, Population Yes ACO ACO Participant TIN Legal Business Name/DBA, if Applicable

2 Health Etienne Mill MD, Medical Director Yes ACO Beenstock Steven MD Yes ACO Evers Martin MD Yes ACO Shapiro Deborah MD Yes ACO Bernstein Scott MD Yes ACO Miller Dean MD Yes ACO Ferrara Lisa MD Yes ACO Keenan June SVP,CRHI yes ACO representative, parent organization

3 Key ACO clinical and administrative leadership: Corey Deixler Mill Etienne Patty Ariel ACO Executive Medical Director Compliance Officer Michele Muldoon Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee Name Committee Leader Name and Position Quality Improvement Committee Mary Leahy, MD, CEO Types of ACO s, or combinations of s, that formed the ACO: ACO professionals in a group practice arrangement Shared Savings and Losses Amount of Shared Savings/Losses N/A Shared Savings Distribution N/A Quality Performance Results 2016 Quality Performance Results: ACO# Measure Name Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information N/A CAHPS: How Well Your Providers Communicate N/A CAHPS: Patients' Rating of Provider N/A CAHPS: Access to Specialists N/A CAHPS: Health Promotion and Education N/A 60 6 CAHPS: Shared Decision Making N/A CAHPS: Health Status/Functional Status N/A 71.82

4 34 CAHPS: Stewardship of Patient Resources N/A Risk-Standardized, All Condition Readmission N/A Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) N/A All-Cause Unplanned Admissions for Patients with Diabetes N/A 53.2 All-Cause Unplanned Admissions for Patients with Heart Failure N/A All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions N/A Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) N/A 9.27 N/A Percent of PCPs who Successfully Meet Meaningful Use Requirements N/A Documentation of Current Medications in the Medical Record N/A Falls: Screening for Future Fall Risk N/A Preventive Care and Screening: Influenza Immunization N/A Pneumonia Vaccination Status for Older Adults N/A Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Preventive Care and Screening: Screening for Clinical Depression and Followup Plan N/A N/A N/A Colorectal Cancer Screening N/A Breast Cancer Screening N/A Preventive Care and Screening: Screening for High Blood Pressure and Followup Documented N/A Statin Therapy for the Prevention and Treatment of Cardiovascular Disease N/A Diabetes Mellitus: Hemoglobin A1c Poor Control N/A 18.24

5 Diabetes: Eye Exam N/A Hypertension (HTN): Controlling High Blood Pressure N/A Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic N/A Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 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 N/A Please note, the 40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. Payment Rule Waivers No, our ACO does not use the SNF 3-Day Rule Waiver.