Paul P. Hinchey, President and CEO

Size: px
Start display at page:

Download "Paul P. Hinchey, President and CEO"

Transcription

1 ACO Name and Location St Joseph's/Candler Advocate Health Network, LLC Previous Names: N/A 5353 Reynolds Street Savannah, GA ACO Primary Contact Primary Contact Name Primary Contact Phone Number Paul P. Hinchey, President and CEO Primary Contact Address Organizational Information ACO participants: ACO Participants Low Country Cancer Care DR. ANDREW TUCKER, MD ELIZABETH FAMILY PRACTICE CENTER Chatham Hosptialists, Llc LYNN'S FAMILY PRACTICE, PC Savannah Chatham Imaging LLC AMW, INC Palmetto Medical Group Coastal Wound Physicians EPPS MEDICAL ASSOCIATES LLC EDUARD DOCU, MD LLC Gastroenterology Institute, Pc Masood Ahmed MD LLC Georgia Emergency Associates Immediate Care Center Southeastern OBGYN Center LLC Dr. Maria Jauhar Group, Inc. Most Plastic & Reconstructive Surgery, Pc ALLIED HEALTH SYSTEMS St Josephs Medical Group LLC ACO Participant in Joint Venture (Enter Y or N)

2 ACO Participants St Josephs Cardiology Group LLC Coastal Georgia Obstetrics & Gynecology Pc CANDLER MEDICAL ONCOLOGY PRACTICE, LLC CANDLER ENT PRACTICE, LLC St Josephs Vascular Group LLC BCG MEDICAL GROUP LLC SJC Electrophysiology LLC Michael A Register DO Saint Josephs Hospital Inc Candler Hospital Incorporated Wayne Family Practice Associates, PC Gregg Parker, M.D.,P.C. Savannah Medical Specialists PC Joseph W Dehaven Md Pc Charles Pugh SJC Oncology Services Georgia LLC SJC Oncology Services South Carolina LLC SJC Medical Group Inc GEORGIA EMERGENCY ASSOCIATES Kidney Specialists of Savannah PC Metro Surgical PC Gastroenterology Consultants of Savannah, PC CHATHAM PATHOLOGY ASSOCIATES PC Southern Medical Group AMERICAN ANESTHESIOLOGY ASSOCIATES OF GEORGIA, LLC Low Country OBGYN PC Jeffrey P. Schyberg, M.D., P.C. Southeast Lung & Critical Care Specialists, Pc ACO Participant in Joint Venture (Enter Y or N)

3 ACO Participants Costrini Sleep Services Southern Allergy and Asthma PC Savannah Surgery Center, Llp Frederic C. Spector Dpm Pc Karen L Fehr Dalessandromdpc Center For Digestive And Liver Health Llc Jeanne M Hungerpiller Md Llc Charles Harris COASTAL MEDICAL SPECIALISTS IN LUNG & CRITICAL CARE, PC Savannah Bone and Joint PC Vernon Bryant SJ SC Cardiology LLC Associated Primary Care Physicians, Inc ACO Participant in Joint Venture (Enter Y or N) ACO governing body: Last Name First Name Title/Position 's Voting Power ship Type Turner, DO Karen Board, Voting Zottoli, MD Lawrence F. Board, Voting Coffey, MD Mark Board, Voting Bradley, MD Paul S. Board, Voting Schlafstein, MD Barry Board, Chair of Payer and Finance Committee, Voting Schyberg, MD Jeffrey P. Board, Voting Philbrick, MD Thomas H. Chair of Board, Board, Chair of Legal Committee, Voting St. Joseph s/candler Employed Physician St. Joseph s/candler Employed Physician

4 McIncrow, DO Richard R Board, Voting Docu, MD Eduard Board, Voting Hungerpiller, MD Jeanne M. Board, Voting Mullins, MD Michael D. Board, Chair of Clinical Integration Committee, Voting Winchell, MD Mark A. Board, Voting Wallace, MD William F. Board, Voting Odom, MD John W. Board, Chair of Credentialing and Network Development Committee, Voting Dekle, MD John L. Board, Medicare Beneficiary, Voting Hinchey Paul P. President and CEO St. Joseph s/candler Health System, Inc. Board, Voting Schaack Gregory J. Board, Voting 's ship Type Voting Power 1 Medicare Beneficiary 1 President and CEO St. Joseph s/candler Health System, Inc. 1 Chief Financial Officer St. Joseph s/candler Health System, Inc. Key ACO clinical and administrative leadership: Paul Hinchey ACO Executive Julia Mikell, MD Medical Director Regina Davidson Compliance Officer Julia Mikell, MD Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee Name Legal Committee Clinical Integration Credentialing and Network Development Committee Leader Name and Position Thomas H. Philbrick, MD Chair Michael D. Mullins, MD Chair John W. Odom, MD Chair

5 Committee Name Payor and Finance Committee Leader Name and Position Barry Schlafstein, MD - Chair Types of ACO participants, or combinations of participants, that formed the ACO: ACO professionals in a group practice arrangement Hospital employing ACO professionals Partnerships or joint venture arrangements between hospitals and ACO professionals Networks of individual practices of ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2017, $0 Shared Savings Distribution First Agreement Period o Performance Year 2017 Proportion invested in infrastructure: N/A Proportion invested in redesigned care processes/resources: N/A Proportion of distribution to ACO participants: N/A Quality Performance Results 2017 Quality Performance Results: ACO# Measure Name Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information CAHPS: How Well Your Providers Communicate CAHPS: Patients Rating of Provider CAHPS: Access to Specialists CAHPS: Health Promotion and Education CAHPS: Shared Decision Making CAHPS: Health Status/Functional Status CAHPS: Stewardship of Patient Resources Risk Standardized, All Condition Readmission Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) All-Cause Unplanned Admissions for Patients with Heart Failure All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) Use of Certified EHR Technology

6 ACO# Measure Name Rate ACO Mean Medication Reconciliation Falls: Screening for Future Fall Risk Imaging Studies for Low Back Pain Preventive Care and Screening: Influenza Immunization Pneumonia Vaccination Status for Older Adults 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 Follow-up Plan Colorectal Cancer Screening Breast Cancer Screening Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Diabetes Mellitus: Hemoglobin A1c Poor Control Diabetes: Eye Exam Hypertension (HTN): Controlling High Blood Pressure Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Please note, the 40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the 36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error. For 2017 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care- O/gk7c-vejx/data Note: In the Quality Performance Results file(s) above, search for St Joseph's/Candler Advocate Health Network, LLC to view the quality performance results. This ACO can also be found by using the ACO ID A37048 in the public use files on data.cms.gov.

7 Payment Rule Waivers No, our ACO does not use the SNF 3-Day Rule Waiver.

Paul P. Hinchey, President and CEO

Paul P. Hinchey, President and CEO ACO Name and Location St Joseph's/Candler Advocate Health Network, LLC 5353 Reynolds Street Savannah, Georgia 31405 ACO Primary Contact Primary Contact Name Primary Contact Phone Number 912-819-6901 Paul

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number ACO Name and Location Next ACO LLC Previous Names: N/A 3535 Little Rd Trinity, FL 34655 ACO Primary Contact Primary Contact Name Jayadeva Chowdappa, MD Primary Contact Phone Number 727-474-9030 Primary

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number (406)

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number (406) ACO Name and Location Previous Names: N/A 2800 Tenth Avenue North PO Box 37000 Billings, MT 59107 ACO Primary Contact Primary Contact Name Jan Bechtold Primary Contact Phone Number (406) 255-8468 Primary

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO Name and Location Pinehurst Accountable Care Network, Inc. 5 First Village Drive Pinehurst, North Carolina 28374 ACO Primary Contact Primary Contact Name Jim Faircloth Primary Contact Phone Number

More information

ACO Name and Location. ACO Primary Contact. Organizational Information N N N N N N

ACO Name and Location. ACO Primary Contact. Organizational Information N N N N N N ACO ame and Location CHI Continuum LLC dba CaroMont ACO 2525 Court Drive Gastonia, orth Carolina 28054 ACO Primary Contact Primary Contact ame Betty J. Herbert Primary Contact Phone umber 704-834-4532

More information

Shared Savings Program ACO Public Reporting

Shared Savings Program ACO Public Reporting ACO Name and Location Shared Savings Program ACO Public Reporting 2.5.18 Keystone Accountable Care Organization, LLC 601 Park Street Office of the CEO Honesdale, Pennsylvania 18431 ACO Primary Contact

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name. Adrienne Opalka

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name. Adrienne Opalka ACO ame and Location Hudson Accountable Care, LLC Previous ames: /A 4888 Loop Central Drive Suite 300 Houston, TX 77081 ACO Primary Contact Primary Contact ame Adrienne Opalka Primary Contact Phone umber

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Scott Berkowitz, MD, MBA

ACO Name and Location. ACO Primary Contact. Organizational Information. Scott Berkowitz, MD, MBA ACO Name and Location Medicine Alliance for Patients, LLC 6704 Curtis Court Glen Burnie, Maryland 21060 ACO Primary Contact Primary Contact Name Primary Contact Phone Number 443-287-4519 Scott Berkowitz,

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number ACO ame and Location Central Florida ACO, LLC Previous ames: /A 3535 Little Rd Trinity, FL 34655 ACO Primary Contact Primary Contact ame Jayadeva Chowdappa, MD Primary Contact Phone umber 727-474-9030

More information

ACO Primary Contact. Organizational Information

ACO Primary Contact. Organizational Information Piedmont Community Health Collaborative, LLC 557 Brookdale Drive Statesville, North Carolina 28677 ACO Primary Contact Primary Contact Name Tyler Wilson Primary Contact Phone Number 704-874-4277 Primary

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number ACO ame and Location Space Coast ACO LLC Previous ames: /A 3535 Little Rd Trinity, FL 34655 ACO Primary Contact Primary Contact ame Jayadeva Chowdappa, MD Primary Contact Phone umber 727-474-9030 Primary

More information

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

ACO Name and Location. ACO Primary Contact. Michele Muldoon. Organizational Information. Primary Contact Name ACO Name and Location Healthy Communities ACO, LLC 255 Lafayette Ave. Suffern, New York 10901 ACO Primary Contact Primary Contact Name Michele Muldoon Primary Contact Phone Number (845) 368-5083 Primary

More information

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

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name ame and Location Accountable Care Organization, LLC 750 Brunswick Avenue Trenton, ew Jersey 08638 Primary Contact Primary Contact ame Robert Remstein DO Primary Contact Phone umber 609-537-6081 Primary

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Central US ACO, LLC 2405 Aspen Rd Highlandville, Missouri 65669 ACO Primary Contact Primary Contact ame Greg Shockey Primary Contact Phone umber 417-224-8166 Primary Contact Email

More information

ACO Name and Location. ACO Primary Contact. Brad Roberts. Organizational Information. Primary Contact Name. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Brad Roberts. Organizational Information. Primary Contact Name. Primary Contact Phone Number ACO ame and Location Texas Panhandle Clinical Partners ACO LLC Previous ames: /A 367 S. Gulph Road King of Prussia, PA 19406 ACO Primary Contact Primary Contact ame Brad Roberts Primary Contact Phone umber

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6 ACO ame and Location Chrysalis Medical Services, LLC 4888 Loop Central Drive Suite 700 Houston, Texas 77081 ACO Primary Contact Primary Contact ame Jeff Spight Primary Contact Phone umber 914-597-2073

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Care4Texans, LLC 6901 Medical Parkway Waco, Texas 76712 ACO Primary Contact Primary Contact ame Katrina George Primary Contact Phone umber 254-751-4754 Primary Contact Email Address

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Ascension Care Management Health Partners Evansville, LLC Previous Legal Business Entity ame: MissionPoint Evansville, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Meritus Health ACO, LLC 11116 Campus Road 3 Link, Suite 3945 Hagerstown, Maryland 21742 ACO Primary Contact Primary Contact ame Andrea Horton, R, BS, ACM-R Primary Contact Phone umber

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Adirondacks ACO, LLC 75 Beekman Street Plattsburgh, ew York 12901 ACO Primary Contact Primary Contact ame Karen L. Ashline Primary Contact Phone umber 518-314-3663 Primary Contact

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Ascension Care Management Health Partners Evansville, LLC Previous Legal Business Entity ame: MissionPoint Evansville, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name. Michael Paez Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name. Michael Paez Primary Contact Phone Number ACO ame and Location South Texas ACO Clinical Partners LLC Previous ames: /A 367 S. Gulph Road King of Prussia, PA 19406 ACO Primary Contact Primary Contact ame Michael Paez Primary Contact Phone umber

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Don Franke. Primary Contact Name. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Don Franke. Primary Contact Name. Primary Contact Phone Number ACO ame and Location Accountable Care Organization, LLC Previous Legal Business Entity ame: Alexian Brothers Accountable Care Organization, LLC 3040 Salt Creek Lane Arlington Heights, Illinois 60005 ACO

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6. Jim Carlough. Primary Contact Name (775)

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6. Jim Carlough. Primary Contact Name (775) ACO ame and Location Renown Accountable Care, LLC Previous Legal Business Entity ame: R TotalHealth, LLC 1155 Mill Street 14 Reno, evada 89502 ACO Primary Contact Primary Contact ame Primary Contact Phone

More information

Shared Savings Program ACO Public Reporting Organizational Information and Performance Results

Shared Savings Program ACO Public Reporting Organizational Information and Performance Results Shared Savings Program ACO Public Reporting Organizational Information and Performance Results ACO ame and Location Silver State ACO LLC Previous ames: /A 801 South Rancho Drive Suite C-1 Las Vegas, V

More information

ACO Name and Location. Organizational Information. ACO Primary Contact

ACO Name and Location. Organizational Information. ACO Primary Contact ACO ame and Location The Premier HealthCare etwork LLC Post Office Box 54157 Atlanta, Georgia 30308 ACO Primary Contact Primary Contact ame Laverne W. Poindexter Primary Contact Phone umber 770-270-5229

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number ACO ame and Location Integrated Health Collaborative, LLC Previous ames: /A c/o Aultman Health Foundation 2600 Sixth Street SW Canton, OH 44710 ACO Primary Contact Primary Contact ame Matt Ritzert Primary

More information

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

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name ame and Location Integrated Health Collaborative, LLC c/o Aultman Health Foundation 2600 Sixth Street SW Canton, Ohio 44710 Primary Contact Primary Contact ame Matt Ritzert Primary Contact Phone umber

More information

Shared Savings Program ACO Public Reporting Organizational Information and Performance Results

Shared Savings Program ACO Public Reporting Organizational Information and Performance Results Shared Savings Program ACO Public Reporting Organizational Information and Performance Results ACO ame and Location Silver State ACO LLC 801 South Rancho Drive Suite C-1 Las Vegas, evada 89106 ACO Primary

More information

The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO

The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO ACO-1 ACO-2 Getting Timely Care, Appointments, and Information How Well Your Providers

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Beacon Rural Health, LLC 797 Wilson Street Brewer, Maine 04412 ACO Primary Contact Primary Contact ame Carrie Arsenault Primary Contact Phone umber (207)973-5692 Primary Contact Email

More information

ACO Public Reporting

ACO Public Reporting ACO Public Reporting ACO Name and Location AHS ACO LLC (Atlantic Accountable Care Organization) 465 South Street, Suite 205 Morristown, NJ 07960 (973) 971-7499 atlanticaco@atlantichealth.org www.atlanticaco.org

More information

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

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name ame and Location Integrated Health Collaborative, LLC c/o Aultman Health Foundation 2600 Sixth Street SW Canton, Ohio 44710 Primary Contact Primary Contact ame Matt Ritzert Primary Contact Phone umber

More information

HEALTHCARE REFORM. September 2012

HEALTHCARE REFORM. September 2012 HEALTHCARE REFORM Accountable Care Organizations: ACOs 101 September 2012 The enclosed slides are intended to provide you with a general overview of accountable care organizations (ACOs), created within

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number ACO ame and Location Physician Organization of Michigan ACO, LLC Previous ames: /A 400 orth Ingalls Room G148 Ann Arbor, MI 48109 ACO Primary Contact Primary Contact ame Terrisca Des Jardins Primary Contact

More information

Provider Perspective of Quality Measurement

Provider Perspective of Quality Measurement Provider Perspective of Quality Measurement The American Medical Group Association supports its members in enhancing population health and care for patients through integrated systems of care Improve

More information

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years Introduction This document describes methods for calculating the quality performance benchmarks for Accountable

More information

Consensus Core Set: ACO and PCMH / Primary Care Measures Version 1.0

Consensus Core Set: ACO and PCMH / Primary Care Measures Version 1.0 Consensus Core Set: ACO and PCMH / Primary Care s 0018 Controlling High Blood Pressure patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately

More information

Clinical Integration Quality Measures

Clinical Integration Quality Measures Clinical Integration Quality Measures Valley Integrated Care Network (VIPN) is physician-driven, with physicians determining which quality measures will be used to improve overall quality of care. Purpose:

More information

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings CMS-1345-P 174 Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings AIM: Better Care for Individuals 1. Patient/Care Giver Experience

More information

2017 CMS Web Interface Reporting

2017 CMS Web Interface Reporting 2017 CMS Web Interface Reporting Measure Specification Review May 18, 2017 Sherry Grund, Telligen Mary Schrader, Telligen Medicare Shared Savings Program and Next Generation ACO Model DISCLAIMER This presentation

More information

Letter to the AMGA Board of Directors...1 Introduction...3

Letter to the AMGA Board of Directors...1 Introduction...3 Table of Contents Letter to the AMGA Board of Directors...1 Introduction...3 Section I: Executive Summary Survey at a Glance...6 Participant Profile...10 Survey Methodology...18 How to Use This Report...21

More information

2014 ACO GPRO Audit What this means for your practice. Sheree M. Arnold ACO Clinical Transformation Specialist

2014 ACO GPRO Audit What this means for your practice. Sheree M. Arnold ACO Clinical Transformation Specialist 2014 ACO GPRO Audit What this means for your practice Sheree M. Arnold ACO Clinical Transformation Specialist Agenda Catholic Medical Partners ACO overview Attribution and sampling of patients ACO quality

More information

MSSP Quality Measure Performance Improvement Comparison EOY 2016 Present Discrete Fields from EHR Medicare Population

MSSP Quality Measure Performance Improvement Comparison EOY 2016 Present Discrete Fields from EHR Medicare Population MSSP Quality Measure Performance Improvement Comparison EOY 2016 Present Discrete Fields from EHR Medicare Population 1 Practice Performance Comparison: Preventive Health *Medicare Population using Discrete

More information

Improving Quality of Care for Medicare Patients: Accountable Care Organizations

Improving Quality of Care for Medicare Patients: Accountable Care Organizations DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE

More information

Letter to the AMGA Board of Directors...1 Introduction...3

Letter to the AMGA Board of Directors...1 Introduction...3 Table of Contents Letter to the AMGA Board of Directors...1 Introduction...3 Section I: Executive Summary Survey at a Glance...6 Participant Profile...10 Survey Methodology...18 How to Use This Report...21

More information

Letter to the AMGA Board of Directors... 1 Introduction... 3

Letter to the AMGA Board of Directors... 1 Introduction... 3 Table of Contents Letter to the AMGA Board of Directors... 1 Introduction... 3 Section I: Executive Summary Survey at a Glance... 6 Participant Profile... 10 Survey Methodology... 19 How to Use This Report...

More information

2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015

2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015 2016 Physician Quality Reporting System (PQRS) Web Interface 12/18/2015 NQF, ) Care Coordination/Patient Safety (CARE) s (2 s Individually Sampled) CARE-2 Falls: Screening for Future Fall Risk Only #318

More information

Letter to the AMGA Board of Directors... 1 Introduction... 3

Letter to the AMGA Board of Directors... 1 Introduction... 3 Table of Contents Letter to the AMGA Board of Directors... 1 Introduction... 3 Section I: Executive Summary Survey at a Glance... 6 Participant Profile... 10 Survey Methodology... 19 How to Use This Report...

More information

Clinical Quality Measures

Clinical Quality Measures Title Medicare Shared Savings Program Blue Cross Blue Shield Other CI Measures Clinical Quality Measures 2016 Reference Toolkit Version Date: 6/13/2016 Title Page 2016 Measures: Quality Codes Page 1 of

More information

Comprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents

Comprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents Comprehensive ESRD Care (CEC) Model Proposed Quality s for Public Comment Table of Contents Page # Introduction 3 Summaries by Domain Technical Expert Panel Recommended CEC Quality s 4 s that were recommended

More information

Fifth Annual National ACO Summit

Fifth Annual National ACO Summit Fifth Annual National ACO Summit June 18 20, 2014 Follow us on Twitter at @ACO_LN and use #ACOsummit The Engelberg Center for Health Care Reform at Brookings The Dartmouth Institute Track One: Performance

More information

Integration of Specialty Care into ACOs: Considering JMAP and Beyond

Integration of Specialty Care into ACOs: Considering JMAP and Beyond Integration of Specialty Care into ACOs: Considering JMAP and Beyond The Seventh National Accountable Care Organization Summit Scott A. Berkowitz MD MBA Senior Medical Director, Accountable Care, Johns

More information

Advances in Alignment, Measurement, and Performance MY 2017 Results Highlights

Advances in Alignment, Measurement, and Performance MY 2017 Results Highlights Advances in Alignment, Measurement, and Performance MY 2017 Results Highlights Align. Measure. Perform. (AMP) Programs Launched in 2003, VBP4P is a statewide performance improvement program and one of

More information

Physician Organization of Michigan ACO. Presented by Jeni Hughes Oakland Southfield Physicians, PC

Physician Organization of Michigan ACO. Presented by Jeni Hughes Oakland Southfield Physicians, PC Physician Organization of Michigan ACO Presented by Jeni Hughes Oakland Southfield Physicians, PC 1 Topics To Cover Background Principles & Structure Quality Measure Requirements & Support Population Management

More information

2017 CMS Web Interface Reporting

2017 CMS Web Interface Reporting 2017 CMS Web Interface Reporting Keys to Successful Reporting Part 2 Measures Refresher November 27, 2017 1:30 3:00 p.m. ET Sherry Grund, Telligen Mary Schrader, Telligen Medicare Shared Savings Program

More information

16 th Annual IHA Stakeholders Meeting Session 1A

16 th Annual IHA Stakeholders Meeting Session 1A 16 th Annual IHA Stakeholders Meeting Session 1A September 19, 2017 Hilton Los Angeles Airport Thank you to our Platinum Sponsor: IHA & PBGH ACO Measurement & Benchmarking Initiative September 19, 2017

More information

2016 Cross-Cutting Measure Set

2016 Cross-Cutting Measure Set 1 0059 Diabetes: Hemoglobin A1c Poor Control: Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the 46 0097 Claims, Registry Medication Reconciliation Post Discharge:

More information

Mini Summit 4: Risk Adjustment: Adequate for Specialty Medications in Global Bundled Payment

Mini Summit 4: Risk Adjustment: Adequate for Specialty Medications in Global Bundled Payment Mini Summit 4: Risk Adjustment: Adequate for Specialty Medications in Global Bundled Payment Jerry Penso, M.D., M.B. A. Chief Medical and Quality Officer What is AMGA? What is AMGA? 3 AMGA By the Numbers

More information

RCCO Quality Indicators Crosswalk

RCCO Quality Indicators Crosswalk Aim: Better Care for Individuals (patient s perspective) RCCO Quality Indicators Crosswalk Quality Number 1. Access: timely care, appointments & info Denominator& Numerator ACO patients 18+ Data collection

More information

Key Trends for Ambulatory Surgery Centers in 2018

Key Trends for Ambulatory Surgery Centers in 2018 Key Trends for Ambulatory Surgery Centers in 2018 Don Phalen Vice President Business Development, Regent Surgical Health Mark Murphy Chief Strategy Officer, St Joseph s Hospital MOVING TOWARDS VALUE-BASED

More information

ACO Congress Conference Pre Session Clinical Performance Measurement

ACO Congress Conference Pre Session Clinical Performance Measurement ACO Congress Conference Pre Session Clinical Performance Measurement Lynne Rothney-Kozlak, MPH Interim VP, ACO Collaborative (Independent Consultant) October 25, 2010 Agenda for Presentation 1. The Framework

More information

Performance Measurement

Performance Measurement Performance Measurement April 8, 2013 Kavita Patel MD, MS Fellow and Managing Director, The Brookings Institution kpatel@brookings.edu The Engelberg Center for Health Care Reform at Brookings The Dartmouth

More information

Monthly Campaign Webinar. October 20, 2016

Monthly Campaign Webinar. October 20, 2016 Monthly Campaign Webinar October 20, 2016 TODAY S WEBINAR Together 2 Goal Updates Webinar Reminders Goal Post October Newsletter Highlights National Day of Action Embed Point-of-Care Tools Q&A Scott Hines,

More information

Measuring and Improving Quality in Accountable Care Organizations

Measuring and Improving Quality in Accountable Care Organizations Measuring and Improving Quality in Accountable Care Organizations Joachim Roski, PhD MPH Fellow, Economic Studies Managing Director, High Value Healthcare Initiative Overview ACOs and health care reform

More information

Driving to Value: Transitioning from Fee for Service. Walter LeStrange

Driving to Value: Transitioning from Fee for Service. Walter LeStrange Driving to Value: Transitioning from Fee for Service Walter LeStrange 1 2015 ProHEALTH Profile 700+ Providers 225 Adult PCP s 100 Peds 35 OB/GYN 350 Sub-Specialty 800,000+ Unique Patients 2 million Visits

More information

RHCs in Accountable Care Organizations (ACOs)

RHCs in Accountable Care Organizations (ACOs) RHCs in Accountable Care Organizations (ACOs) Judith Ortiz, Ph.D., Thomas Wan, Ph.D. Richard Hofler, Ph.D., Angeline Bushy, Ph.D., R.N. Yi ling Lin, Ph.D., Celeste Boor, B.S., Jackie Ong Rural Health Research

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Physician Organization of Michigan ACO, LLC 400 orth Ingalls Room G148 Ann Arbor, Michigan 48109-5481 ACO Primary Contact Primary Contact ame Terrisca Des Jardins Primary Contact Phone

More information

PQRS in TRAKnet 2015 GUIDE TO SUBMIT TING AND REPORTING PQRS IN 2015 THROUGH TRAKNET

PQRS in TRAKnet 2015 GUIDE TO SUBMIT TING AND REPORTING PQRS IN 2015 THROUGH TRAKNET PQRS in TRAKnet 2015 GUIDE TO SUBMITTING AND REPORTING PQRS IN 2015 THROUGH TRAKNET What is PQRS? PQRS is a quality reporting program that uses negative payment adjustments to promote reporting of quality

More information

2018 MIPS Reporting Family Medicine

2018 MIPS Reporting Family Medicine 2018 MIPS Reporting Family Medicine Quality Reporting Requirements: Report on 6 quality measures or a specialty measure set Include at least ONE outcome or high-priority measure Report on patients of All-Payers

More information

What Does Walt Disney Have To Do With Heath Care: The Importance of Quality, Reliability, and Engaged Physicians

What Does Walt Disney Have To Do With Heath Care: The Importance of Quality, Reliability, and Engaged Physicians What Does Walt Disney Have To Do With Heath Care: The Importance of Quality, Reliability, and Engaged Physicians Scott Hines, MD Chief Quality Officer Crystal Run Healthcare October 22, 2015 Learning Objectives

More information

Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists

Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists Measure Name Measure Domain Measure Focus Comment/Explanation CMS Value-based Purchasing Program (CMS VBP) AMI 30-day

More information

MSPPS Clinical Focus Areas

MSPPS Clinical Focus Areas MSPPS Clinical Focus Areas Chronic Disease Diabetes, Cardiovascular, and Behavioral Health Disease Comprehensive Diabetes Care: 3 Tests- HbA1c, Eye exam, Nephropathy* Comprehensive Diabetes Care: HbA1c

More information

th Street, NW Suite 1000 Washington, DC phone fax

th Street, NW Suite 1000 Washington, DC phone fax TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Accreditation & Measures Policy DATE: May 15 2017 (Updated on October 18, 2017) RE: Measures for Accreditation Scoring in 2018

More information

Accountable Care Organizations (ACO)

Accountable Care Organizations (ACO) s At A Glance Updated: 01/08/2019 2019 Page 1 of 5 Mandatory s (4) Note: Mandatory measures are those measures that are a requirement of accreditation and must be reported to on an annual basis. # Description

More information

MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) QUALITY CATEGORY

MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) QUALITY CATEGORY MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) QUALITY CATEGORY QUALITY PAYMENT PROGRAM FINAL RULE SUMMARY Synopsis For the Quality performance category, CMS finalized the proposal for greater reporting flexibility

More information

Affordability AMGA - MIPS Webinar

Affordability AMGA - MIPS Webinar Affordability AMGA - MIPS Webinar Beth Averbeck, MD Senior Medical Director Primary Care, HealthPartners Consumer-governed, non-profit HealthPartners Medical Group Primary Care: 500,000 patients 29 locations

More information

Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program

Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program July 21, 2016 Today s presenter: Al Wroblewski, PCMH CCE, Client Services Relationship

More information

PCMH 2018 Enrollment and Update August 25, 2017

PCMH 2018 Enrollment and Update August 25, 2017 PCMH 2018 Enrollment and Update August 25, 2017 Enrollment Requirements Anne Santifer HealthCare Innovations Department of Human Services 2018 Enrollment Requirements A physician practice that is enrolled

More information

Meaningful Use Overview

Meaningful Use Overview Eligibility Providers may be eligible for incentives from either Medicare or Medicaid, but not both. In addition, providers may not be hospital based. Medicare: A Medicare Eligible Professional (EP) is

More information

Reference Guide. Adele Hall (816) CMH Kansas (913) East (816) Northland (816)

Reference Guide. Adele Hall (816) CMH Kansas (913) East (816) Northland (816) Reference Guide Request a Consultation Visit childrensmercy.org/providers and select a specialty. For assistance with referrals, call the Contact Center at 7:30 a.m. to 9 p.m., M-F 8 a.m. to 4:30 p.m.,

More information

SullivanCotter 2012 Physician Compensation and Productivity Survey

SullivanCotter 2012 Physician Compensation and Productivity Survey Physician Practice Areas Anesthesiology Anesthesiology Critical Care Anesthesiology Pain Medicine Anesthesiology Pediatric Anesthesiology Cardiology Cardiac Imaging (Echo, CT/MRI, Nuclear) Electrophysiology

More information

REPORT. A Model Clinical Trials System for the 21st Century

REPORT. A Model Clinical Trials System for the 21st Century www.georgiacore.org www.georgiacancertrials.org REPORT A Model Clinical Trials System for the 21st Century A Response to the Institute of Medicine s 2010 Report A National Cancer Clinical Trials System

More information

CAH Quality: Right Place, Right Skills, Right Now!

CAH Quality: Right Place, Right Skills, Right Now! CAH Quality: Right Place, Right Skills, Right Now! January 9 & 16, 2007 10-11:30am (same agenda for both meetings) Bt-wan arranged for registered participants If you experience technical difficulties call

More information

proposed set to a required subset of 3 to 5 measures based on the availability of electronic

proposed set to a required subset of 3 to 5 measures based on the availability of electronic CMS-0033-P 143 proposed set to a required subset of 3 to 5 measures based on the availability of electronic measure specifications and comments received. We propose to require for 2011 and 2012 that EP's

More information

Successes in Regional Collaboration to Achieve the Triple Aim Oregon. Pay for Performance Summit San Francisco March 24, 2014

Successes in Regional Collaboration to Achieve the Triple Aim Oregon. Pay for Performance Summit San Francisco March 24, 2014 Successes in Regional Collaboration to Achieve the Triple Aim Oregon Pay for Performance Summit San Francisco March 24, 2014 Agenda Oregon Health Care Quality Corporation (Q Corp) Background Priority Projects

More information

Validating and Reporting the 2017 ACO Clinical Measures (Version 1)

Validating and Reporting the 2017 ACO Clinical Measures (Version 1) Validating and Reporting the 2017 ACO Clinical Measures Author: Ben Fouts, Informatics Redwood Community Health Coalition 1310 Redwood Way Petaluma, California 94954 support@rchc.net Document Last Updated:

More information

Certified Health IT Transparency and Disclosure Information 2014 Edition

Certified Health IT Transparency and Disclosure Information 2014 Edition Certified Health IT Transparency and Disclosure Information 2014 Edition 2015 Edition Certified Health IT Transparency and Disclosure Information I. Disclaimer This Complete EHR is 2014 Edition compliant

More information

Medicare ACO Proposed Rule: What Physicians Need to Know Member Webinar May 3, 2011

Medicare ACO Proposed Rule: What Physicians Need to Know Member Webinar May 3, 2011 Medicare ACO Proposed Rule: What Physicians Need to Know Member Webinar May 3, 2011 Agenda Background Summary of Key Provisions Shared Savings Bonus Calculation Concluding Take-Aways Questions and Answers

More information

Value-Based Physician Compensation and Dashboards

Value-Based Physician Compensation and Dashboards MGMA 2017 ANNUAL CONFERENCE OCT. 8-11 ANAHEIM, CA Value-Based Physician Compensation and Dashboards Kameron McQuay, CPA/ABV, CVA Director, Blue and Co. LLC Indianapolis, Ind. MGMA has determined that Kameron

More information

The Future of Cardiac Care: Managing Our Patients Together

The Future of Cardiac Care: Managing Our Patients Together The Future of Cardiac Care: Managing Our Patients Together Charles R. Caldwell, MD, FACC Disclosures: iheartdoc,inc. Telemedicine 1 MACRA Medicare Access and CHIP Reauthorization Act of 2015 Repealed the

More information

2017 MSSP Clinical Quality Measures

2017 MSSP Clinical Quality Measures *The information contained in this document relies heavily on information supplied by CMS. GPRO CARE-1 (NQF 0097): Medication Reconciliation Post-Discharge DESCRIPTION: Percentage of discharges from any

More information

Implementing Performance Measurement Programs: The Blue Cross Blue Shield of Massachusetts Perspective

Implementing Performance Measurement Programs: The Blue Cross Blue Shield of Massachusetts Perspective Implementing Performance Measurement Programs: The Blue Cross Blue Shield of Massachusetts Perspective Dana Gelb Safran, Sc.D. Senior Vice President Performance Measurement and Improvement Massachusetts

More information

Quality Payment Program: A Closer Look at the Proposed Rule for Year 3

Quality Payment Program: A Closer Look at the Proposed Rule for Year 3 Quality Payment Program: A Closer Look at the Proposed Rule for Year 3 Sandy Swallow and Michelle Brunsen August 21, 2018 1 This material was prepared by Telligen, the Medicare Quality Innovation Network

More information

th Street, NW Suite 1000 Washington, DC phone fax

th Street, NW Suite 1000 Washington, DC phone fax TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Accreditation & Measures Policy DATE: September 19, 2016 RE: Measures for Accreditation Scoring in 2017 This communication gives

More information

MEASURE TYPE. Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence

MEASURE TYPE. Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence Clinicians in the MIPS track will be required to comply the QPP by reporting on six quality measures, including an outcome measure, for a minimum of 90 days. To help providers figure out what MIPS measures

More information

QUALITY RATING SYSTEM: BACKGROUND

QUALITY RATING SYSTEM: BACKGROUND QUALITY RATING SYSTEM: BACKGROUND Federally-required quality rating system Originally required for 2017, FFM delayed until 2018 in most states 5 states displaying QRS for 2017 2 FFM pilot states + CA,

More information

PROGRAM ASSISTANCE LETTER

PROGRAM ASSISTANCE LETTER PROGRAM ASSISTANCE LETTER DOCUMENT NUMBER: 2015-01 DATE: November 25, 2014 DOCUMENT TITLE: Proposed Uniform Data System Changes for Calendar Year 2015 TO: Health Centers Primary Care Associations Primary

More information

Disclosure. From the London Times... What Is Meaningful Use? 11/7/2011. Overview. The Road to Meaningful Use and Beyond

Disclosure. From the London Times... What Is Meaningful Use? 11/7/2011. Overview. The Road to Meaningful Use and Beyond Disclosure The Road to and Beyond A Simple Overview of a Complex Topic I have no relevant financial relationships to disclose. HIT Subcommittee Dr. Charles King II, Chair Dr. Robert Warren Itara Barnes,

More information