West Virginia 2017 Health Center ACO
Colleen Wagner
ACO Primary Contact
412-304-2926
Locations
Locations

Aledade Accountable Care 12, LLC
4550 Montgomery Ave, Ste 950
Bethesda, MD 20814
202-803-7979

  • Belington Community Medical Services Association, Inc
  • BLUESTONE HEALTH ASSOCIATION INC
  • Cabin Creek Health Center, Inc.
  • CAMDEN ON GAULEY MEDICAL CENTER INC
  • Change, Incorporated
  • Clay-Battelle Health Services Association
  • LINCOLN COUNTY PRIMARY CARE CENTER INC
  • Monongahela Valley Association of Health Centers, Inc.
  • New River Health Association, Inc
  • Rainelle Medical Center Inc
  • SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
  • St George Medical Clinic Inc
  • TUG RIVER HEALTH ASSOCIATION, INC.
  • Valley Health Systems, Inc.
  • WESTERN MARYLAND HEALTH CARE CORPORATION
  • WIRT COUNTY HEALTH SERVICES ASSOCIATION INC

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

  • Ruf, Eric, Voting Member, 1, ACO Participant Representative, Belington Community Medical Services Association, Inc
  • Robinson, Craig, Voting Member, 1, ACO Participant Representative, Cabin Creek Health Center, Inc.
  • Vandergrift, Nancy, Voting Member, 1, ACO Participant Representative, Monongahela Valley Association of Health Centers, Inc.
  • Weimer, Mathew, Voting Member, 1, ACO Participant Representative, Valley Health Systems, Inc.
  • Thomas, Rebecca, Voting Member, 1, ACO Participant Representative, Clay-Battelle Health Services Association
  • Schultz, John, Voting Member, 1, ACO Participant Representative, New River Health Association, Inc
  • Raveaux, Judy, Voting Member, 1, ACO Participant Representative, Change, Incorporated
  • Atha-Rader,Kristi, Voting Member, 1, ACO Participant Representative, Rainelle Medical Center Inc
  • Chatterton, Vanessa, Voting Member and Medicare Beneficiary Representative, 1, N/A
  • Wagner, Colleen, Voting Member, 1, ACO Executive, Aledade, Inc.
  • ACO Executive: Ms. Colleen Wagner
  • Medical Director: Dr. Matthew Weimer
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson
  • Beneficiary Engagement Committee: L.J. Fauber, Chair
  • Evidence-Based Medicine Committee: Matthew Weimer, Chair
  • Compliance Committee: Matthew Weimer, Chair
  • Performance Improvement Committee: Steve Shattls, Chair
  • Federally Qualified Health Center (FQHC)
  • First Agreement Period
  • Performance Year 2017, $0

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

2016 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
N/A
80.6
ACO-2
CAHPS: How Well Your Providers Communicate
N/A
93.13
ACO-3
CAHPS: Patients’ Rating of Provider
N/A
92.31
ACO-4
CAHPS: Access to Specialists
N/A
83.32
ACO-5
CAHPS: Health Promotion and Education
N/A
62.3
ACO-6
CAHPS: Shared Decision Making
N/A
75.85
ACO-7
CAHPS: Health Status/Functional Status
N/A
73.05
ACO-34
CAHPS: Stewardship of Patient Resources
N/A
25.68
ACO-8
Risk Standardized, All Condition Readmission
N/A
15.01
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
N/A
18.46
ACO-36
All-Cause Unplanned Admissions for Patients with Diabetes
N/A
53.2
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
N/A
79.16
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
N/A
61.74
ACO-9
Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)
N/A
9.27
ACO-10
Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)
N/A
14.53
ACO-11
Percent of PCPs who Successfully Meet Meaningful Use Requirements
N/A
82.72
ACO-39
Documentation of Current Medications in the Medical Record
N/A
87.54
ACO-13
Falls: Screening for Future Fall Risk
N/A
74.38
ACO-14
Preventive Care and Screening: Influenza Immunization
N/A
72.52
ACO-15
Pneumonia Vaccination Status for Older Adults
N/A
72.92
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
N/A
70.69
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
N/A
90.48
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
N/A
61.98
ACO-19
Colorectal Cancer Screening
N/A
64.58
ACO-20
Breast Cancer Screening
N/A
70.05
ACO-21
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
N/A
76.79
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
N/A
79.89
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
N/A
16.74
ACO-41
Diabetes: Eye Exam
N/A
50.37
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
N/A
71.47
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
N/A
86.86
ACO-31
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
N/A
88.67
ACO-33
Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)
N/A
79.67

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

2017 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
79.38
80.6
ACO-2
CAHPS: How Well Your Providers Communicate
93.83
93.13
ACO-3
CAHPS: Patients’ Rating of Provider
91.67
92.31
ACO-4
CAHPS: Access to Specialists
78.94
83.32
ACO-5
CAHPS: Health Promotion and Education
60.3
62.3
ACO-6
CAHPS: Shared Decision Making
75.46
75.85
ACO-7
CAHPS: Health Status/Functional Status
71.01
73.05
ACO-34
CAHPS: Stewardship of Patient Resources
26.32
25.68
ACO-8
Risk Standardized, All Condition Readmission
14.73
15.01
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
17.37
18.46
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
86.87
79.16
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
64.6
61.74
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
2.2
1.93
ACO-11
Use of Certified EHR Technology
100
98.48
ACO-12
Medication Reconciliation
93.94
75.32 .
ACO-13
Falls: Screening for Future Fall Risk
51.56
74.38
ACO-44
Imaging Studies for Low Back Pain
58.49
67.32
ACO-14
Preventive Care and Screening: Influenza Immunization
59.87
72.52
ACO-15
Pneumonia Vaccination Status for Older Adults
64.6
72.92
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
64.04
70.69
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
93.5
90.48
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
75
61.98
ACO-19
Colorectal Cancer Screening
62.62
64.58
ACO-20
Breast Cancer Screening
61.06
70.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82.6
79.89
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
20.69
16.74
ACO-41
Diabetes: Eye Exam
N/38.87
50.37
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
67.76
71.47
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
94.75
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 Accountable Care 12, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A43804 in the public use files on data.cms.gov.

Payment Rule Waivers

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