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
  • First Agreement Period
  • Performance Year 2017, $0
  • Performance Year 2016, $0
  • Performance Year 2015, $0

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
2017 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
78.56
80.6
ACO-2
CAHPS: How Well Your Providers Communicate
93.79
93.13
ACO-3
CAHPS: Patients’ Rating of Provider
92.39
92.31
ACO-4
CAHPS: Access to Specialists
83.07
83.32
ACO-5
CAHPS: Health Promotion and Education
64.18
62.3
ACO-6
CAHPS: Shared Decision Making
72.79
75.85
ACO-7
CAHPS: Health Status/Functional Status
72.55
73.05
ACO-34
CAHPS: Stewardship of Patient Resources
34.47
25.68
ACO-8
Risk Standardized, All Condition Readmission
15.07
15.01
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
18.58
18.46
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
82.40
79.16
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
62.44
61.74
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.93
1.93
ACO-11
Use of Certified EHR Technology
100
98.48
ACO-12
Medication Reconciliation
99.27
75.32
ACO-13
Falls: Screening for Future Fall Risk
64.31
74.38
ACO-44
Imaging Studies for Low Back Pain
70.83
67.32
ACO-14
Preventive Care and Screening: Influenza Immunization
77.16
72.52
ACO-15
Pneumonia Vaccination Status for Older Adults
78.1
72.92
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
82.26
70.69
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
95.19
90.48
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
61.86
61.98
ACO-19
Colorectal Cancer Screening
69.01
64.58
ACO-20
Breast Cancer Screening
74.84
70.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.7
79.89
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
15.53
16.74
ACO-41
Diabetes: Eye Exam
44.01
50.37
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
69.18
71.47
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
95.11
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

For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data

Note: In the Quality Performance Results file(s) above, search for “Aledade Delaware ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A34814 in the public use files on data.cms.gov.

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 A87299 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”