LVHN ACO: Public Reporting

ACO Name and Location

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

ACO Primary Contact

Nina Taggart
610-969-2542
Nina_M.Taggart@LVHN.org

Organizational Information

ACO Participants

ACO Participant in Joint Venture
(Enter Y or N)

Lehigh Valley Hospital

N

Eastern Pennsylvania Gastroenterology and Liver Specialists, P.C.

N

Allentown Radiation Oncology Associates P.C.

N

Lehigh Valley Physician Group

N

Colon Rectal Surgery Associates P.C.

N

International Healing Ministries

N

NU HOUSE CALLS P.C.

N

Northwestern Medical Center, P.C.

N

 

ACO Governing Body

Name:  Capuano, Terry
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Hospital


Name:  Guanowsky, Glenn
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Hospital


Name:  Julia, Ronald
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Physician Group


Name:  Kile, Gregory
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  Other- Non Participant Insurance Expert
Legal Business Name**:  N/A


Name:  Lawrence, Susan
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Hospital


Name:  Lehr, William
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  Medicare Beneficiary Representative
Legal Business Name**:  N/A


Name:  Marchozzi, Thomas
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Hospital


Name:  McCambridge, Matthew
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Hospital


Name:  Murphy, Robert
Title/Position:  Voting Member and President
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Physician Group


Name:  Rossi, Michael
Title/Position:  Voting Member and Chairman
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Physician Group


Name:  Stephens, Jennifer
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Physician Group


Name:  Taggart, Nina
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Physician Group


Name:  Wendling, Mark
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Physician Group


Name:  Whalen, Thomas
Title/Position:  Voting Member
Voting Power*:  1
Membership Type:  ACO Participant Representative
Legal Business Name**:  Lehigh Valley Physician Group


* Member's Voting Power – Expressed as a percentage or number

** ACO Participant Legal Business Name/DBA, if Applicable

 

Key ACO Clinical and Administrative Leadership

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

Associated Committees and Committee Leadership

Quality Committee:
Kevin McNeill, MD
Associate Medical Director, LVHN ACO

Finance Commitee:
Mark Wendling, MD
Medical Director LVPHO

Patient Engagment 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

First Agreement Period

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

Shared Savings Distribution

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

2017 Quality Performance Results:


(ACO-1)  CAHPS: Getting Timely Care, Appointments, and Information

Rate:  81.74  |  ACO Mean:  80.60


(ACO-2)  CAHPS: How Well Your Providers Communicate

Rate:  95.07  |  ACO Mean:  93.13


(ACO-3) CAHPS: Patients’ Rating of Provider

Rate:  94.30  |  ACO Mean:  92.31


(ACO-4) CAHPS: Access to Specialists

Rate:  79.18  |  ACO Mean:  83.32


(ACO-5) CAHPS: Health Promotion and Education

Rate:  66.41  |  ACO Mean:  62.30


(ACO-6) CAHPS: Shared Decision Making

Rate:  78.00  |  ACO Mean:  75.85


(ACO-7) CAHPS: Health Status/Functional Status

Rate:  74.57  |  ACO Mean:  73.05


(ACO-34) CAHPS: Stewardship of Patient Resources

Rate:  25.00  |  ACO Mean:  25.68


(ACO-8) Risk Standardized, All Condition Readmission

Rate:  15.02  |  ACO Mean:  15.01


(ACO-35) Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

Rate:  16.57  |  ACO Mean:  18.46


(ACO-36) All-Cause Unplanned Admissions for Patients with Diabetes

Rate:  59.62  |  ACO Mean:  53.95


(ACO-37) All-Cause Unplanned Admissions for Patients with Heart Failure

Rate:  89.44  |  ACO Mean:  79.16


(ACO-38) All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

Rate:  72.50  |  ACO Mean:  61.74


(ACO-43) Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

Rate:  1.83  |  ACO Mean:  1.93


(ACO-11) Use of Certified EHR Technology

Rate:  100.00  |  ACO Mean:  98.48


(ACO-12) Medication Reconciliation

Rate:  96.12  |  ACO Mean:  75.32


(ACO-13) Falls: Screening for Future Fall Risk

Rate:  85.59  |  ACO Mean:  74.38


(ACO-44) Imaging Studies for Low Back Pain

Rate:  59.70  |  ACO Mean:  67.32


(ACO-14) Preventive Care and Screening: Influenza Immunization

Rate:  78.75  |  ACO Mean:  72.52


(ACO-15) Pneumonia Vaccination Status for Older Adults

Rate:  82.74  |  ACO Mean:  72.92


(ACO-16) Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

Rate:  68.07  |  ACO Mean:  70.69


(ACO-17) Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Rate:  98.82  |  ACO Mean:  90.48


(ACO-18) Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

Rate:  81.99  |  ACO Mean:  61.98


(ACO-19) Colorectal Cancer Screening

Rate:  69.04  |  ACO Mean:  64.58


(ACO-20) Breast Cancer Screening

Rate:  72.07  |  ACO Mean:  70.05


(ACO-42) Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Rate:  76.62  |  ACO Mean:  79.89


(ACO-27) Diabetes Mellitus: Hemoglobin A1c Poor Control

Rate:  15.98  |  ACO Mean:  16.74


(ACO-41) Diabetes: Eye Exam

Rate:  54.94  |  ACO Mean:  50.37


(ACO-28) Hypertension (HTN): Controlling High Blood Pressure

Rate:  73.14  |  ACO Mean:  71.47


(ACO-30) Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

Rate:  92.75  |  ACO Mean:  86.86


Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Lehigh Valley Health Network Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A29177 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.