LVHN ACO: Public Reporting

Untitled Document

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

Pocono Adult & Pediatric Medical Group LLC

N

 

ACO Governing Body

Member First Name Member Last Name Member Title/Position Member's Voting Power Membership Type ACO Participant Legal Business Name/DBA, if Applicable

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
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

  • Performance Year 2022, $0
  • 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 2022
    • 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 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

2022 Quality Performance Results:
Quality Performance results are based on CMS Web Interface

Measure # Measure Name Collection Type Rate Current Year Mean Performance Rate
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 87.57 83.96
CAHPS-2 How Well Your Providers Communicate CAHPS for MIPS Survey 95.65 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 92.91 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 74.74 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 68.19 62.68
CAPHS-6 Shared Decision Making CAHPS for MIPS Survey 69.20 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 75.18 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 88.38 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 95.09 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 25.33 25.62
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control Web Interface 6.76 10.71
134 Preventive Care and Screening: Screening for Depression and Follow-up Plan Web Interface 84.56 76.97
236 Controlling High Blood Pressure Web Interface 71.97 76.16
318 Falls: Screening for Future Fall Risk Web Interface 93.49 87.83
110 Preventive Care and Screening: Influenza Immunization Web Interface 84.94 77.34
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Web Interface 71.43 79.27
113 Colorectal Cancer Screening Web Interface 77.93 75.32
112 Breast Cancer Screening Web Interface 84.14 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Administrative Claims 84.59 86.37
370 Depression Remission at Twelve Months Web Interface 15.73 16.03
321 CAHPS for MIPS CAHPS for MIPS Survey N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1585 0.1510
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 41.41 30.97

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