NC ACO Public Reporting

ACO name and location:

Novant Health Accountable Care Organization I, LLC
200 Hawthorne Lane, P.O. Box 33549,
Charlotte, NC 28233

ACO primary contacts:

John Howard
704-316-2421
jshoward@novanthealth.org

Organizational information:

ACO participants:

ACO Participants	ACO Participant in Joint Venture
Carolina Medicorp Enterprises, Inc.	No
Forsyth Medical Group, LLC	No
Forsyth Memorial Hospital, Inc.	No
Foundation Health Systems Corp	No
Northwest Family Physicians, P.A.	No
Novant Medical Group, Inc.	No
Presbyterian Medical Care Corp	No
The Presbyterian Hospital	No

ACO participants in joint ventures between ACO professionals and hospitals: None

ACO governing body:

Member Last Name	Member First Name	Member Title/Position	Member's Voting Power	Membership Type	ACO Participant Legal Business Name
Stevens	Shelbourn	Chair	1 vote	Other representative	N/A
Barnabei	Robert	Physician	1 vote	ACO Participant Representative	Novant Medical Group, Inc.
Eichenbrenner	Timothy	Physician	1 vote	Medicare Beneficiary Representative	N/A
English	Betsy	Physician	1 vote	ACO Participant Representative	Forsyth Memorial Hospital, Inc.
Hoben	Michael	Physician	1 vote	ACO Participant Representative	Carolina Medicorp Enterprises, Inc.
Laguerre	Jacques	Physician	1 vote	ACO Participant Representative	Novant Medical Group, Inc.
Smart	Carl	Physician/Sec-Treasurer	1 vote	ACO Participant Representative	Novant Medical Group, Inc.
Williams	Jerome	Physician/Vice-Chair	1 vote	ACO Participant Representative	Novant Medical Group, Inc.

Key ACO clinical and administrative leadership:

ACO Executive: John Howard
Medical director: Michael Hoben, MD
Compliance officer: Kelly Patterson
Quality Assurance/Improvement Officer: David Priest, MD

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Network Development Committee	Patrick Easterling, Chair
Quality Committee	David Priest, MD, Chair
Finance Committee	Geoff Gardner, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

ACO professionals in a group practice arrangement
Hospital employing ACO professionals

Public Disclosure of Arrangement Conducted Under the MSSP ACO Participation Waiver

The Centers for Medicare and Medicaid Services and the U.S. Department of Health and Human Services’ Office of Inspector General have made available waivers of certain federal fraud and abuse laws in connection with the operation of accountable care organizations (“ACOs”) that have entered into a participation agreement under the Medicare Shared Savings Program (“MSSP”), one of which is called the ACO Participation Waiver.

Novant Health Accountable Care Organization I, LLC (the “Company”) is an ACO participating in the MSSP. Pursuant to the ACO Participation Waiver, on June 22, 2021, after making a bona fide determination that the arrangement is reasonably related to the purposes of the Shared Savings Program, the Company’s Board, as the governing body of the Company, approved an arrangement to distribute a portion of the projected shared savings for the 2020 performance year to qualifying physician participants (primary care and specialists) in three installments.

Amount of Shared Savings and Losses:

First Agreement Period

Performance Year 2019, $0
Performance Year 2018, $0
Performance Year 2017, $0

Shared savings distribution:

First Agreement Period

Performance Year 2019
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance Year 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A

Quality Performance Results:

2019 Quality Performance Results:

ACO #	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely care, Appointments, and Information	87.40	85.86
ACO-2	CAHPS: how Well Your Providers Communicate	96.50	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	95.07	92.69
ACO-4	CAHPS: Access to Specialists	85.27	81.54
ACO-5	CAHPS: Health Promotion and Education	61.82	60.44
ACO-6	CAHPS: Shared Decision Making	67.01	62.78
ACO-7	CAHPS: health Status/Functional Status	75.20	73.79
ACO-34	CAHPS: Stewardship of Patient Resources	29.33	26.17
ACO-45	CAHPS: Courteous and Helpful Office Staff	95.19	92.84
ACO-46	CAHPS: Care Coordination	90.42	86.89
ACO-8	Risk Standardized, All Condition Readmission	15.12	14.86
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	54.87	58.15
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.85	1.87
ACO-13	Falls: Screening for Future Fall Risk	96.42	84.04
ACO-14	Preventive Care and Screening: Influenza Immunization	85.86	74.77
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	97.78	78.04
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	97.83	70.40
ACO-19	Colorectal Cancer Screening	83.46	70.76
ACO-20	Breast Cancer Screening	80.60	73.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	85.19	82.17
ACO-27	Diabetes: Hemoglobin A1c Poor Control (>9%)	9.69	13.88
ACO-28	Controlling High Blood Pressure	75.00	75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. In addition, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.

For Previous Years' Quality Performance Results please visit: data.cms.gov

Note: In the link above, search for “Novant Health Accountable Care Organization I, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3504 in the public use files on data.cms.gov.