Pennsylvania 2018 ACO
Jeff Mandel
ACO Primary Contact
215-853-6641
Location
Location

Aledade Accountable Care 15, LLC
4550 Montgomery Ave, Ste 950
Bethesda, MD 20814
202-803-7979

  • Apple Ridge Family Medicine
  • TYRONE HOSPITAL
  • Waynesboro Family Medical Associates,
    LLP
  • Graham Medical Clinic, C.P.
  • Keystone Rural Health Consortia, Inc.
  • Hyndman Area Health Center Inc
  • Baxter Drew Wellmon II D.O., P.C.
  • Natale J Falanga MD FACP PC
  • MONTGOMERY FAMILY PRACTICE INC
  • Southern Ohio Medical Inc
  • Walnut Bottom Family Practice, LLC
  • Gallo, Gary, Voting Member, 1, ACO Participant Representative, Waynesboro Family Medical Associates, LLP
  • Falanga, Natale, Voting Member, 1, ACO Participant Representative, Natale J Falanga MD FACP PC
  • Quraishi, Sabir, Voting Member, 1, ACO Participant Representative, Southern Ohio Medical Inc.
  • Wellmon, Baxter, Voting Member, 1, ACO Participant Representative, Baxter Drew Wellmon II D.O.,P.C.
  • Smith, Talbot, Voting Member, 1, ACO Participant Representative, Apple Ridge Family Medicine
  • Vereshack, Amy Voting Member, 1, ACO Participant Representative, TYRONE HOSPITAL
  • Myers, Lisa, Voting Member, 1, ACO Participant Representative, Walnut Bottom Family Practice, LLC
  • Adams, Rachel, Voting Member, 1, ACO Participant Representative, Hyndman Area Health Center Inc.
  • Pion, Joseph, Voting Member, 1, ACO Participant Representative, Graham Medical Clinic,P.C.
  • Bennardi, Kristie, Voting Member, 1, ACO Participant Representative, Keystone Rural Health Consortia, Inc.
  • Kubala, Ginger, Voting Member, 1, ACO Participant Representative, MONTGOMERY FAMILY PRACTICE INC
  • Copenhaver, Richard, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Mandel, Jeff, Voting Member, Chair Person, 1, ACO Executive, Aledade, Inc.
  • ACO Executive: Jeff Mandel, MD
  • Medical Director: Joseph Pion, DO
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Emily Maxson, MD
  • Beneficiary Engagement Committee: Dr. Ginger Kubala, Chair, Dr. Stephen Rettig
  • Performance Improvement Committee: Dr. Baxter Wellmon, Chair, Dr. Natale Falanga
  • Transitions of Care Committee: Dr. Lisa Myers, Chair, Dr. Talbot Smith
  • Compliance Committee:Kristie Bennardi, Sarah Chasson
  • Evidence-Based Medicine Committee: Dr. Victor Lahnovych, Chair, Dr. Nora Olson
  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

First Agreement Period
 

  • Performance Year 2017, $3,741,517

First Agreement Period | Performance Year 2017

N/A - Reinvest in infrastructure

N/A - Invested in redesigned care processes/resources

N/A - Distribution to ACO Participants

100% - Primary Care Professionals

N/A - Specialists

N/A - Hospital

2017 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
82.04
80.6
ACO-2
CAHPS: How Well Your Providers Communicate
93.4
93.13
ACO-3
CAHPS: Patients’ Rating of Provider
93.19
92.31
ACO-4
CAHPS: Access to Specialists
82.92
83.32
ACO-5
CAHPS: Health Promotion and Education
72.14
62.3
ACO-6
CAHPS: Shared Decision Making
76.83
75.85
ACO-7
CAHPS: Health Status/Functional Status
76.51
73.05
ACO-34
CAHPS: Stewardship of Patient Resources
26.49
25.68
ACO-8
Risk Standardized, All Condition Readmission
14.83
15.01
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
16.96
18.46
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
61.14
79.16
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
51.79
61.74
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.58
1.93
ACO-11
Use of Certified EHR Technology
100
98.48
ACO-12
Medication Reconciliation
76.92
75.32
ACO-13
Falls: Screening for Future Fall Risk
97.84
74.38
ACO-44
Imaging Studies for Low Back Pain
81.82
67.32
ACO-14
Preventive Care and Screening: Influenza Immunization
94.6
72.52
ACO-15
Pneumonia Vaccination Status for Older Adults
95.37
72.92
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
75
70.69
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
99.38
90.48
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
87.77
61.98
ACO-19
Colorectal Cancer Screening
90.43
64.58
ACO-20
Breast Cancer Screening
89.81
70.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85.29
79.89
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
12.62
16.74
ACO-41
Diabetes: Eye Exam
92.88
50.37
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
82.94
71.47
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
94.7
86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

Note: In the Quality Performance Results file(s) above, search for “Aledade Accountable Care 15, LLC” or “Pennsylvania 2018 ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A98866 in the public use files on data.cms.gov.

Payment Rule Waivers

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