Pennsylvania Gateway 2017 ACO
Jeff Mandel
ACO Primary Contact
215-853-6641
Location
Location

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

  • Gateway Medical Associates, P.C.

No participants are involved in a joint venture between ACO professionals and hospitals

  • Rodgers, Timothy, Voting Member, 1, Gateway Medical Associates, P.C.
  • Norris, Monica, Voting Member, 1, Gateway Medical Associates, P.C.
  • Stretton, Jean, Voting Member, 1, Gateway Medical Associates, P.C.
  • Khalifa, John, Voting Member, 1, Gateway Medical Associates, P.C.
  • Catania, Charles, Voting Member, 1, Gateway Medical Associates, P.C.
  • Fleck, Susan, Voting Member, 1, Gateway Medical Associates, P.C.
  • Barry, Walter, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Mandel, Jeff, 1, Voting Member and Chair, Aledade, Inc.
  • Executive Director: Dr. Jeff Mandel
  • Medical Director: Dr. Jean Stretton
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Kim Lynch
  • Beneficiary Engagement Committee: Neema Chokshi, Douglas Atlas
  • Evidence-Based Medicine Committee: Monica Norris, Jean Stretton
  • Transitions of Care Committee: Vitasta Bamezai, Charles Barr
  • Compliance Committee: Timothy Rodgers
  • Performance Improvement Committee: Brian Boucher, Frances Brennan
  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Second Agreement Period

    • Performance Year 2018, $0

  • First Agreement Period

    • Performance Year 2017, $0

    • Performance Year 2016, $0

    • Performance Year 2015, $0

 

Second Agreement Period | Performance Year 2018

  • 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

 

First Agreement Period | Performance Year 2017 | Performance Year 2016 | Performance Year 2015

  • 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
2018 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
85.86
86.14
ACO-2
CAHPS: How Well Your Providers Communicate
93.44
93.93
ACO-3
CAHPS: Patients’ Rating of Provider
91.90
92.45
ACO-4
CAHPS: Access to Specialists
83.25
81.50
ACO-5
CAHPS: Health Promotion and Education
59.38
59.26
ACO-6
CAHPS: Shared Decision Making
61.51
61.94
ACO-7
CAHPS: Health Status/Functional Status
72.43
73.35
ACO-34
CAHPS: Stewardship of Patient Resources
27.61
26.26
ACO-8
Risk Standardized, All Condition Readmission
14.51
14.98
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
17.76
18.59
ACO-36
All-Cause Unplanned Admissions for Patients with Diabetes
34.03
37.01
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
74.78
76.75
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
58.78
59.00
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.70
1.98
ACO-11
Use of Certified EHR Technology
100.00
98.20
ACO-12
Medication Reconciliation
85.97
85.91
ACO-13
Falls: Screening for Future Fall Risk
61.18
79.73
ACO-44
Imaging Studies for Low Back Pain
55.56
64.36
ACO-14
Preventive Care and Screening: Influenza Immunization
82.76
72.71
ACO-15
Pneumonia Vaccination Status for Older Adults
77.23
75.97
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
79.44
76.83
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
72.50
72.81
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
60.22
66.74
ACO-19
Colorectal Cancer Screening
63.24
68.27
ACO-20
Breast Cancer Screening
74.37
71.96
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86.04
81.47
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
21.43
15.51
ACO-41
Diabetes: Eye Exam
44.81
52.42
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
67.20
73.10
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
95.19
88.92

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

 

Note: In the Quality Performance Results file(s) above, search for “Aledade Primary Care ACO LLC” or “Pennsylvania Gateway 2017 ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A2643 in the public use files on data.cms.gov.

Payment Rule Waivers

 

Yes, our ACO does use the SNF 3-Day Rule Waiver

For any feedback or complaints about the SNF 3-Day Rule Waiver, please contact:

Our ACO operates a “High Priority AWV Completion Challenge”