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

 

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

Robert

Kruklitis

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

Finance Committee

Mark Wendling, MD Medical Director, LVPHO

Patient Engagement Committee

Margaret Kornuszko-Story, PhD Population Health Strategist, Senior Segment

Compliance Committee

Victor Shutack Compliance Officer, Director of Compliance, LVHN

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
321 CAHPS for MIPS 59.69 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.