VA ACO Public Reporting

ACO Name and Location:

UVA Community Health Accountable Care Organization, LLC
28 Blackwell Park Lane, Suite 303
Warrenton, VA 20186

 

ACO Primary Contact:

James Min, MD, ACO Executive
703-559-1403

jmin@novanthealth.org

 

Organizational Information:

ACO Participants:
ACO Participants ACO Participant in Joint Venture
NMG Affiliate Practice I, LLC N
Piedmont Family Practice, PLC N

 

ACO Governing Body:
Member Last Name Member First Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Von Elton, MD Steve Chair, Voting Member 1 ACO Participant Piedmont Family Practice, PLC
Siford, MD Kara Vice Chair, Voting Member 1 ACO Participant NMG Affiliate Practice I, LLC
DeRosa, MD Gary Voting Member 1 ACO Participant NMG Affiliate Practice I, LLC
Ward, MD Chris Voting Member 1 ACO Participant Piedmont Family Practice, PLC
Heaton, MD Chris Voting Member 1 ACO Participant NMG Affiliate Practice I, LLC
Hammonds, MD Victoria Voting Member 1 ACO Participant NMG Affiliate Practice I, LLC
Grzejka John Voting Member 1 Medicare Beneficiary N/A
Kumar Devipreya Voting Member 1 Non_ACO Participant Representative N/A
 
Key ACO Clinical and Administrative Leadership:

ACO Executive: James Min, MD
Medical Director: Kara Siford, MD
Compliance Officer: Patricia Slater
Quality Assurance/Improvement Officer: Michelle Strider

 

Associated Committees and Committee Leadership:
Committee Name Committee Leader Name and Position
ACO Quality Committee Chair:  Michelle Strider
 
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
  • ACO professionals in a group practice arrangement
 

Shared Savings and Losses

Amount of Shared Savings and Losses:
  • Second Agreement Period
    • Performance Year 2020, $803,751.14
  • First Agreement Period
    • Performance Year 2019, $2,443,666.80
    • Performance Year 2018, $0
    • Performance Year 2017, $0
Shared Savings Distribution:
  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 47%
      • Proportion invested in redesigned care processes/resources: 37%
      • Proportion of distribution to ACO participants: 16%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 9%
      • Proportion invested in redesigned care processes/resources: 53%
      • Proportion of distribution to ACO participants: 38%
  • 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:

2020 Quality Performance Results:

 

ACO # Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.97 0.95
ACO-13 Falls: Screening for Future Fall Risk 85.60 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 77.27 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 66.67 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 89.42 71.46
ACO-19 Colorectal Cancer Screening 77.89 72.59
ACO-20 Breast Cancer Screening 72.82 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 90.66 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 9.92 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 71.32 72.87

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey data for PY 2020 though the Physician Fee Schedule Final Rule for Calendar Year 2021.  Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporrting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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