LVHN ACO: Public Reporting

ACO Name and Location

Lehigh Valley Health Network Accountable Care Organization, LLC
1605 N. Cedar Crest Blvd.
Suite 411, Roma Building
Allentown, PA 18104

ACO Primary Contact

Primary Contact Name	Nina Taggart, MD
Primary Contact Phone Number	610-969-2542
Primary Contact Email Address	Nina_M.Taggart@LVHN.org

 

Organizational Information

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Lehigh Valley Hospital	N
Lehigh Valley Physician Group	N
Maureen C. Persin, DO, P.C.	N
Valley Health Partners Community Health Center	N

 

ACO Governing Body

Member			Member's Voting Power –Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
First Name	Last Name	Title/Position
Robert	Murphy	MD, Board Chair, Voting Member	8.7%	ACO Participant Representative	Lehigh Valley Physician Group
Mark	Wendling	MD, Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
Nina	Taggart	MD, Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
James	Freeman	DO, Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
Maulik	Purohit	MD, Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
Thomas	Marchozzi	Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
Matthew	McCambridge	MD, Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
Stephen	Molitoris	Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
Michael	Rossi	MD, Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
Jennifer	Stephens	DO, Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
Neti	Vora	MD, Voting Member	8.3%	ACO Participant Representative	Lehigh Valley Physician Group
William	Matthews	Voting Member	8.3%	Medicare Beneficiary Representative	N/A

Key ACO Clinical and Administrative Leadership

ACO Executive: Robert Murphy
Medical Director: Nina Taggart
Compliance Officer: Victor Shutack
Quality Assurance/Improvement Officer: Nina Taggart

Associated Committees and Committee Leadership

Committee Name	Committee Leader Name and Position
Quality Committee	Kevin McNeill, MD Associate Medical Director, LVHN ACO – Committee CHAIR
Finance Committee	Mark Wendling, MD Medical Director, LVPHO – Committee CHAIR
Patient Engagement Committee	Margaret Kornuszko-Story, PhD Population Health Strategist, Senior Segment – Committee CHAIR
Compliance Committee	Victor Shutack Compliance Officer, Director of Compliance, LVHN – Committee CHAIR

Types of ACO participants, or combinations of participants, that formed the ACO:

• Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

• Performance Year 2021, $0 
• Performance Year 2020, $0
• Performance Year 2019, $0
• Performance Year 2018, $0

First Agreement Period

• Performance Year 2017, $0
• Performance Year 2016, $0
• Performance Year 2015, $5,469,475

Shared Savings Distribution

Second Agreement Period

• Performance Year 2021
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
• Performance Year 2020
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
• Performance Year 2019
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
• Performance Year 2018
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

First Agreement Period

• 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
• Performance Year 2016
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
• Performance Year 2015
  • Proportion invested in infrastructure: 75%
  • Proportion invested in redesigned care processes/resources: 12%
  • Proportion of distribution to ACO participants: 13%

Quality Performance Results

2021 Quality Performance Results:
Quality Performance results are based on CMS Web Interface

MSSP CAHPS for MIPS
Measure #	Measure Name	Rate	ACO Mean
CAHPS-1	Getting Timely Care, Appointments, and Information	86.91	84.67
CAHPS-2	How Well Your Providers Communicate	94.38	93.56
CAHPS-3	Patient’s Rating of Provider	92.38	92.19
CAHPS-4	Access to Specialists	75.35	78.80
CAHPS-5	Health Promotion and Education	66.29	61.61
CAPHS-6	Shared Decision Making	67.97	60.89
CAHPS-7	Health Status and Functional Status	72.08	71.78
CAHPS-8	Care Coordination	86.34	85.66
CAHPS-9	Courteous and Helpful Office Staff	94.36	91.88
CAHPS-11	Stewardship of Patient Resources	22.57	24.71

CMS Web Interface Measure Set
Measure #	Measure Name	Reported Performance Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	10.90	12.46
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	86.46	74.38
236	Controlling High Blood Pressure	72.97	74.87
318	Falls: Screening for Future Fall Risk	91.83	87.03
110	Preventive Care and Screening: Influenza Immunization	89.29	80.52
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	78.57	80.97
113	Colorectal Cancer Screening	78.22	73.63
112	Breast Cancer Screening	79.07	75.11
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	83.55	84.24
370	Depression Remission at Twelve Months	N/A	N/A
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	0.1635	0.154
MCC1	All-Cause Unplanned Admission for Patients with Multiple Chronic Conditions for ACOs (MCC)	46.53	33.99

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov.