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 Primary Contact Email Address betty.herbert@caromonthealth.org Organizational Information ACO participants: ACO s CaroMont South Point LLC Ashley Womens CMG LLC Gaston Memorial Hospital, Incorporated (dba CaroMont Regional Medical Center) CaroMont Health Services Inc. CaroMont Medical Group IC Piedmont Adult & Pediatric Medicine Associates P.A. Hospice of Gaston County, Inc ACO in Joint Venture (Enter Y or )
ACO governing body: Last ame Member First ame Title/Position Member's Voting Power Membership Type ACO TI Legal Business ame/dba, if Applicable Dyksterhouse Andrew Dr 10 votes ACO Besson Kathleen Ms 25 votes ACO Rinehart David Dr 30 votes ACO Miller Rachel Dr 10 votes ACO O Connor David Mr 25 votes ACO Andreou Costa Dr 10 votes ACO Williams Johnathan Dr 10 votes ACO Atkinson Richard Mr 10 votes Medicare Beneficiary CaroMont South Point LLC CaroMont Health Services Inc. CaroMont Medical Group IC Ashley Womens CMG LLC Gaston Memorial Hospital, Incorporated dba CaroMont Regional Medical Center Hospice of Gaston County, Inc Piedmont Adult & Pediatric Medicine Associates P.A. /A Key ACO clinical and administrative leadership: Chris Peek ACO Executive Costa Andreou Medical Director Wendy Wright Compliance Officer Heather McConnell Quality Assurance/Improvement Officer Associated committees and committee leadership:
Committee ame Quality Assurance and Improvement Committee Compliance Committee Physician Leadership Council Finance and Operations Committee Committee Leader ame and Position Dr. Joseph R. Holman, Chair Ms. Wendy Wright Dr. Andrew Dysterhouse, Chair Dr. Harry Caulfield, Chair Types of ACO participants, or combinations of participants, that formed the ACO: ACO professionals in a group practice arrangement etworks of individual practices of ACO professionals Partnerships or joint venture arrangements between hospitals and ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2016, $5,146,102 o Performance Year 2015, $3,784,257 o Performance Year 2014, $2,590,837 Shared Savings Distribution First Agreement Period o Performance Year 2016 Proportion invested in infrastructure: 6% Proportion invested in redesigned care processes/resources: 2% Proportion of distribution to ACO participants: 92% o Performance Year 2015 Proportion invested in infrastructure: 11% Proportion invested in redesigned care processes/resources: 3% Proportion of distribution to ACO participants: 86% o Performance Year 2014 Proportion invested in infrastructure: 6%
Proportion invested in redesigned care processes/resources: 5% Proportion of distribution to ACO participants: 89% Quality Performance Results 2016 Quality Performance Results: ACO# Measure ame Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information 78.73 79.9 2 CAHPS: How Well Your Providers Communicate 93.14 92.63 3 CAHPS: Patients' Rating of Provider 92.7 91.93 4 CAHPS: Access to Specialists 86.68 83.52 5 CAHPS: Health Promotion and Education 59.61 60 6 CAHPS: Shared Decision Making 79.99 75.28 7 CAHPS: Health Status/Functional Status 69.85 71.82 34 CAHPS: Stewardship of Patient Resources 33.2 27.52 8 Risk-Standardized, All Condition Readmission 14.38 14.7 35 36 37 38 Skilled ursing Facility 30-Day All-Cause Readmission Measure (SFRM) 17.11 18.17 All-Cause Unplanned Admissions for Patients with Diabetes 51.86 53.2 All-Cause Unplanned Admissions for Patients with Heart Failure 78.36 75.23 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 64.88 59.81 9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 12.54 9.27
10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 14.55 14.53 11 39 13 14 15 Percent of PCPs who Successfully Meet Meaningful Use Requirements 95.65 82.72 Documentation of Current Medications in the Medical Record 92.04 87.54 Falls: Screening for Future Fall Risk 68.42 64.04 Preventive Care and Screening: Influenza Immunization 63.95 68.32 Pneumonia Vaccination Status for Older Adults 80.33 69.21 16 17 18 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 83.87 74.45 96 90.98 52 53.63 19 20 Colorectal Cancer Screening 61.17 61.52 Breast Cancer Screening 67.59 67.61 21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 74.33 76.84 42 27 41 28 30 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.78 77.72 Diabetes Mellitus: Hemoglobin A1c Poor Control 9.02 18.24 Diabetes: Eye Exam 40 44.94 Hypertension (HT): Controlling High Blood Pressure 71.54 70.52 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 94.42 85.05 31 33 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%) 93.69 88.67 90.1 79.67
Please note, the 40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. For 2016 Quality Performance Results please visit: https://data.cms.gov/special-programs- Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care- O/3jk5-q6dr/data For 2015 Quality Performance Results please visit: https://data.cms.gov/special-programs- Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8vaz7cu For 2014 Quality Performance Results please visit: https://data.cms.gov/special-programs- Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/uccehhpu ote: In the Quality Performance Results file(s) above, search for CHI Continuum LLC or "CaroMont ACO" to view the quality performance results. This ACO can also be found by using the ACO ID A07386 in the public use files on data.cms.gov. Payment Rule Waivers o, our ACO does not use the SF 3-Day Rule Waiver.