People sitting around table talking during meeting

VA ACO Public Reporting

ACO name and location:

Novant Health UVA Health System Accountable Care Organization, 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:

Piedmont Family Practice, PLC
NMG Affiliate Practice I, LLC

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
Heather Aram	Other representative	Serves on Board of Managers; Chairperson	Voting Member (1)	N/A
Gary DeRosa, MD	ACO participant representative	Serves on Board of Managers	Voting Member (1)	NMG Affiliate Practice, I, LLC
Victoria Hammonds, MD	ACO participant representative	Serves on Board of Managers	Voting Member (1)	NMG Affiliate Practice, I, LLC
Alison Haines	ACO participant representative	Serves on Board of Managers	Voting Member (1)	NMG Affiliate Practice, I, LLC
Chris Heaton, MD	ACO participant representative	Serves on Board of Managers	Voting Member (1)	NMG Affiliate Practice, I, LLC
James Min, MD	ACO participant representative	Serves on Board of Managers	Voting Member (1)	NMG Affiliate Practice, I, LLC
Steven vonElten, MD	ACO participant representative	Serves on Board of Managers	Voting Member (1)	Piedmont Family Practice, PLC
John Grezika	Medicare beneficiary representative	Serves on Board of Managers	Voting Member (1)	N/A

Key ACO clinical and administrative leadership:

ACO Executive: Robert Eberle, MD
Medical Director: Gary De Rosa, MD
Compliance Officer: Lee Decker
Quality Assurance/Improvement Officer: David Priest, MD

Associated committees and committee leadership:

Network development committee: Heather Aram, 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

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	84.03	86.14
ACO-2	CAHPS: How Well Your Providers Communicate	94.20	93.93
ACO-3	CAHPS: Patients’ Rating of Provider	94.34	92.45
ACO-4	CAHPS: Access to Specialists	82.16	81.50
ACO-5	CAHPS: Health Promotion and Education	54.98	59.26
ACO-6	CAHPS: Shared Decision Making	57.59	61.94
ACO-7	CAHPS: Health Status/Functional Status	74.64	73.35
ACO-34	CAHPS: Stewardship of Patient Resources	25.20	26.26
ACO-8	Risk Standardized, All Condition Readmission	14.70	14.98
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	18.85	18.59
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	35.29	37.01
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	73.63	76.75
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	59.05	59.00
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	2.07	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	74.72	79.73
ACO-44	Imaging Studies for Low Back Pain	66.67	64.36
ACO-14	Preventive Care and Screening: Influenza Immunization	61.48	72.71
ACO-15	Pneumonia Vaccination Status for Older Adults	69.66	75.97
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up	75.80	76.83
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	82.05	72.81
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	68.73	66.74
ACO-19	Colorectal Cancer Screening	61.72	68.27
ACO-20	Breast Cancer Screening	66.08	71.96
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	85.09	81.47
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	13.51	15.51
ACO-41	Diabetes: Eye Exam	49.71	52.42
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	73.33	73.10
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	94.16	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.

For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
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

Note: In the Quality Performance Results file(s) above, search for “Novant Health UVA Health System Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3507 in the public use files on data.cms.gov.