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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:

Robert Eberle, MD
336-277-2428
raeberle@novanthealth.org

Organizational information:

ACO participants:

Carolina Medicorp Enterprises, Inc.
Davidson Family Medicine, P.A
Forsyth Medical Group, LLC
Forsyth Memorial Hospital, Inc.
Foundation Health Systems Corp
Northwest Family Physicians, P.A.
Novant Medical Group, Inc.
Piedmont Family Medicine, PA
Presbyterian Medical Care Corp
Rowan Diagnostic Clinic, PA
The Presbyterian Hospital

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

ACO governing body:

  Name:
Member type:
Governing body role:
Voting capacity:
ACO participant (TIN) legal name
Stephen Wallenhaupt, MD
Medicare beneficiary representative
Serves on board of managers; chairperson
Voting member (1)
N/A
Robert Barnabei, MD
ACO participant representative Serves on board of managers Voting member (1) Novant Medical Group, Inc.
Carl Smart, MD
ACO participant representative
Serves on board of managers Voting member (1)
Novant Medical Group, Inc.
Betsy English, MD
ACO participant representative
Serves on board of managers Voting member (1)
Forsyth Memorial Hospital, Inc.
Jacques Laguerre, MD ACO participant representative
Serves on board of managers
Voting member (1)
Novant Medical Group, Inc.
Michael Hoben, MD
ACO participant representative
Serves on board of managers
Voting member (1)
Carolina Medicorp Enterprises, Inc.
Jerome Williams, MD
ACO participant representative
Serves on board of managers Voting member (1)
Novant Medical Group, Inc.
Shelbourn Stevens Other representative
Serves on board of managers
Voting member (1)
N/A

Key ACO clinical and administrative leadership:
  • ACO Executive: Robert Eberle, MD
  • Medical director: Michael Hoben, MD
  • Compliance officer: Lee Decker
  • Quality Assurance/Improvement Officer: David Priest, MD

Associated committees and committee leadership:
  • 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

Amount of Shared Savings and Losses:
  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $0

Shared savings distribution:
    • First Agreement Period
      • 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:

    2018 Quality Performance Results:

  ACO#
Measure Name
Rate
ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information  87.21 86.14
ACO-2 CAHPS: How Well Your Providers Communicate  95.09 93.93
ACO-3 CAHPS: Patients’ Rating of Provider  93.71 92.45
ACO-4 CAHPS: Access to Specialists  83.80 81.50
ACO-5 CAHPS: Health Promotion and Education 65.08 59.26
ACO-6 CAHPS: Shared Decision Making  65.18 61.94
ACO-7 CAHPS: Health Status/Functional Status  72.67 73.35
ACO-34 CAHPS: Stewardship of Patient Resources  32.15 26.26
 ACO-8  Risk Standardized, All Condition Readmission  14.47  14.98
 ACO-35  Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)  18.63  18.59
 ACO-36  All-Cause Unplanned Admissions for Patients with Diabetes  31.00  37.01
 ACO-37  All-Cause Unplanned Admissions for Patients with Heart Failure  71.45  76.75
 ACO-38  All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions  53.62  59.00
 ACO-43  Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))  1.88  1.98
 ACO-11  Use of Certified EHR Technology  100.00  98.20
 ACO-12  Medication Reconciliation  100.00 85.91
 ACO-13  Falls: Screening for Future Fall Risk   94.96  79.73
 ACO-44  Imaging Studies for Low Back Pain  59.09  64.63
 ACO-14  Preventive Care and Screening: Influenza Immunization  75.94  72.71
 ACO-15  Pneumonia Vaccination Status for Older Adults  86.24  75.97
 ACO-16  Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up  93.75  76.83
 ACO-17  Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention  50.00  72.81
 ACO-18  Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan  98.12  66.74
 ACO-19  Colorectal Cancer Screening  75.57  68.74
 ACO-20  Breast Cancer Screening  81.13  71.96
 ACO-42  Statin Therapy for the Prevention and Treatment of Cardiovascular Disease  84.84  81.47
 ACO-27  Diabetes Mellitus: Hemoglobin A1c Poor Control   10.96  15.51
 ACO-41  Diabetes: Eye Exam  52.67  52.42
 ACO-28  Hypertension (HTN): Controlling High Blood Pressure   76.70  73.10
 ACO-30  Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic  94.60  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 “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.