West Virginia 2016 ACO
Colleen Wagner
ACO Primary Contact
412-304-2926
Location
Location

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

  • Charleston Internal Medicine Inc
  • Chesapeake Medical Center, PLLC
  • Comprehensive Health Solutions, PLLC
  • DUNBAR MEDICAL ASSOCIATES PLLC
  • Family Health Associates of the Kanawha Valley PLLC
  • Finbar Powderly
  • Healthy Habits Wellness Ctr, Inc
  • John Holloway
  • Kanawha Medical Center Inc
  • Mountain State Medicine and Rheumatology PLLC
  • Patel Inc
  • Prestige Primary Care Associates PLLC
  • Spring Hill Primary Care Physicians PLLC
  • Williamson Health & Wellness Center Inc
  • WV Primary Care Inc

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

  • Beckett, C. Donnovan, Voting Member, 1, Comprehensive Health Solutions, PLLC
  • Moore, Franklin, Voting Member, 1, Prestige Primary Care Associates PLLC
  • Miller, Jon, Voting Member, 1, Healthy Habits Wellness Ctr, Inc
  • Holloway, John, Voting Member, 1, John Holloway
  • Bacha, Ghali, Voting Member, 1, Chesapeake Medical Center, PLLC
  • Bowden, R. Thomas, Voting Member, 1, Charleston Internal Medicine Inc
  • Skaggs, Christopher, Voting Member, 1, Spring Hill Primary Care Physicians PLLC
  • Reginald, Triplett, Voting Member, 1, Mountain State Medicine and Rheumatology PLLC
  • Powderly, Finbar Gerard, Voting Member, 1, Finbar G. Powderly MD
  • Patel, Rohit, Voting Member, 1, Patel Inc
  • Sheth, Ashish, Voting Member, 1, West Virginia Primary Care, Inc.
  • DeTemple, Julie, Voting Member, 1, Family Health Associates of Kanawha Valley PLLC
  • Lilly, Jonathan, Voting Member, 1, Medical Director DUNBAR MEDICAL ASSOCIATES PLLC
  • Jagannath, Thopsie, Voting Member, 1, Kanawha Medical Center Inc
  • Johnson, Vickie, Voting Member, 1, Williamson Health & Wellness Center Inc
  • Wishire, John, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Angelo, Bill, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Wagner, Colleen, Voting Member, Chair Person, 1, Aledade, Inc.
  • Executive Director: Ms. Colleen Wanger
  • Medical Director: Dr. Jonathan Lilly
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson
  • Beneficiary Engagement Committee: Dr. Jonathan Lilly, Chair
  • Transitions of Care Committee: Dr. Franklin Moore, Chair
  • Compliance Committee: Dr. Jonathan Lilly
  • Evidence-Based Medicine Committee: Dr. Christopher Skaggs Chair
  • Networks of individual practices of ACO professionals

First Agreement Period

  • Performance Year 2017, $2,950,672
  • Performance Year 2016, $1,566,654

First Agreement Period | Performance Year 2017 | Performance Year 2016

10% - Reinvest in infrastructure

30% - Invested in redesigned care processes/resources

60% - 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
83.64
80.6
ACO-2
CAHPS: How Well Your Providers Communicate
93.91
93.13
ACO-3
CAHPS: Patients’ Rating of Provider
94.22
92.31
ACO-4
CAHPS: Access to Specialists
84.8
83.32
ACO-5
CAHPS: Health Promotion and Education
63.4
62.3
ACO-6
CAHPS: Shared Decision Making
72.83
75.85
ACO-7
CAHPS: Health Status/Functional Status
68.33
73.05
ACO-34
CAHPS: Stewardship of Patient Resources
32.97
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)
17.35
18.46
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
76.45
79.16
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
54.76
61.74
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.65
1.93
ACO-11
Use of Certified EHR Technology
100
98.48
ACO-12
Medication Reconciliation
99.7
75.32
ACO-13
Falls: Screening for Future Fall Risk
78.75
74.38
ACO-44
Imaging Studies for Low Back Pain
58.82
67.32
ACO-14
Preventive Care and Screening: Influenza Immunization
79.59
72.52
ACO-15
Pneumonia Vaccination Status for Older Adults
79.57
72.92
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
77.78
70.69
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
97.52
90.48
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
74.55
61.98
ACO-19
Colorectal Cancer Screening
72.36
64.58
ACO-20
Breast Cancer Screening
76.31
70.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82.64
79.89
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
14.33
16.74
ACO-41
Diabetes: Eye Exam
58.92
50.37
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
72.84
71.47
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
93.65
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

 

Note: In the Quality Performance Results file(s) above, search for “Aledade West Virginia ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A79194 in the public use files on data.cms.gov.

Payment Rule Waivers

 

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