ACO Participants

  • Atlantic Adult and Pediatric Medicine, PA
  • Bijan Sorouri M.D. P.A.
  • Delaware Primary Care LLC
  • Family Medicine at Greenhill
  • Family Practice Associates, PA
  • Georgetown Medical Associates, LLC
  • Glasgow Internal Medicine Associates PA
  • Horizons Family Practice PA
  • Ian Myers, MD LLC
  • Kirk Family Practice, LLC
  • Lifespan Medical Services LLC
  • Mark Glassner
  • Mark Glassner
  • Mid-Atlantic Family Practice
  • Peninsula Health LLC
  • Primary Care of Delaware, LLC
  • Southbridge Medical Advisory Council Inc
  • Southern Delaware Medical Group
  • Stoney Batter Family Medicine Associates P.A.
  • Sussex Internal Medicine LLC
  • TP Indira MD PA
  • William B. Funk, M.D., PA
  • Zarek Donohue Llc (Progressive Health of Delaware)

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

ACO Governing Body

  • Stanislav, Charles, 1, Voting Member, ACO Participant Representative, Atlantic Adult & Pediatric Medicine
  • Sorouri, Kayvan, 1, Voting Member, ACO Participant Representative, Darwin Professional Center
  • Osunkoya, Abimbola, 1, Voting Member, ACO Participant Representative, Delaware Primary Care LLC
  • Mann, Sandeep, 1, Voting Member, ACO Participant Representative, Delaware Primary Care LLC
  • Tan, Theodore, 1, Voting Member, ACO Participant Representative, Delaware Primary Care LLC
  • Gill, James, 1, Voting Member, ACO Participant Representative, Family Medicine at Greenhill
  • Krasner, David, 1, Voting Member, ACO Participant Representative, Family Practice Associates
  • Helou, Beshara, 1, Voting Member, ACO Participant Representative, Georgetown Medical Associates
  • Blacklock, Curt, 1, Voting Member, ACO Participant Representative, Glasgow Internal Medicine
  • Scott, Shay, 1, Voting Member, ACO Participant Representative, Henrietta Johnson Medical Center
  • Navarro, Julio, 1, Voting Member, ACO Participant Representative, Horizons Family Practice PA
  • Myers, Ian, 1, Voting Member, ACO Participant Representative, Ian Myers MD
  • Kirk, Deborah, 1, Voting Member, ACO Participant Representative, Kirk Family Practice
  • Tankala, Harsha, 1, Voting Member, ACO Participant Representative, Lifespan Medical Services LLC
  • Glassner, Mark, 1, Voting Member, ACO Participant Representative, Mark A Glassner MD
  • Caswell-Monack, Brian, 1, Voting Member, ACO Participant Representative, Mid-Atlantic Family Practice
  • Bahtiarian, Greg, 1, Voting Member, ACO Participant Representative, Mid-Atlantic Family Practice
  • DiSalvo, Carmelo, 1, Voting Member, ACO Participant Representative, Mid-Atlantic Family Practice
  • Heckert, Jeffrey, 1, Voting Member, ACO Participant Representative, Mid-Atlantic Family Practice
  • Sordi, Mark, 1, Voting Member, ACO Participant Representative, Mid-Atlantic Family Practice
  • Damouni, Fadi, 1, Voting Member, ACO Participant Representative, Peninsula Health
  • Puri, Vineet, 1, Voting Member, ACO Participant Representative, Primary Care of Delaware LLC
  • Donohue, David, 1, Voting Member, ACO Participant Representative, Progressive Health of Delaware
  • Barnes, Cedric, 1, Voting Member, ACO Participant Representative, Southern Delaware Medical Group
  • Hammer, Scott, 1, Voting Member, ACO Participant Representative, Southern Delaware Medical Group
  • Prodessa, Julie, 1, Voting Member, ACO Participant Representative, Stoney Batter Family Medicine
  • Mullins, Sarah, 1, Voting Member, ACO Participant Representative, Stoney Batter Family Medicine
  • Schaeffer, Scott, 1, Voting Member, ACO Participant Representative, Stoney Batter Family Medicine
  • Sehgal, Manu, 1, Voting Member, ACO Participant Representative, Sussex Internal Medicine LLC
  • Kumar, Sambhab, 1, Voting Member, ACO Participant Representative, TP Indira Inc.
  • Funk, Bill, 1, Voting Member, ACO Participant Representative, William B. Funk, MD
  • Burke, Dorothy, 1, Voting Member, Medicare Beneficiary Representative, N/A
  • Blanchard, Tyler, 1, Chair and Voting Member, Aledade, Inc., N/A

Key Clinical and Administrative Leadership

  • Executive Director: Mr. Tyler Blanchard
  • Medical Director: Dr. Rash Jones
  • Compliance Officer: Mr. Brian Lynch
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

  • Beneficiary Engagement Committee: Dr. David Krasner, Chair
  • Compliance Committee: Dr. Damouni, Chair
  • Performance Improvement Committee: Dr. Charles Stanislav, Co-Chair
  • Transitions of Care Committee: Dr. Sarah Mullins, Co-Chair and Dr. Beshara Helou, Co-Chair
  • Medical Director: Dr. Rash Jones

Composition of ACO

  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

  • Agreement period beginning 2015: Performance Year 2015: $0
  • Agreement period beginning 2015: Performance Year 2016, $0

How Shared Savings Are Distributed

Agreement period beginning 2015, Performance Year 2015

Agreement period beginning 2015, Performance Year 2016

10%

Reinvest in infrastructure

30%

Invested in redesigned care processes/resources

60%

Distribution to ACO Participants

N/A

Specialists

N/A

Hospital

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule Waiver
  • Our ACO operates a “TCM Completion Challenge” view the Waiver

Quality Reporting

ACO#Measure NameRateACO Mean
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.
ACO-1CAHPS: Getting Timely Care, Appointments, and Information 83.5980.51
ACO-2CAHPS: How Well Your Providers Communicate 94.1993.01
ACO-3CAHPS: Patients’ Rating of Provider 92.392.25
ACO-4CAHPS: Access to Specialists 83.2383.49
ACO-5CAHPS: Health Promotion and Education61.3560.32
ACO-6CAHPS: Shared Decision Making 74.7175.4
ACO-7CAHPS: Health Status/Functional Status 74.8272.3
ACO-34CAHPS: Stewardship of Patient Resources 28.4826.97
ACO-8Risk Standardized, All Condition Readmission14.1114.7
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)17.9518.17
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes41.6753.2
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure59.5475.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions49.1359.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)9.799.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)22.1614.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements83.3382.72
ACO-39Documentation of Current Medications in the Medical Record99.1687.54
ACO-13Falls: Screening for Future Fall Risk 86.2464.04
ACO-14Preventive Care and Screening: Influenza Immunization76.0968.32
ACO-15Pneumonia Vaccination Status for Older Adults85.6169.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up80.3174.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention97.6890.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan78.0353.63
ACO-19Colorectal Cancer Screening68.1861.52
ACO-20Breast Cancer Screening79.7467.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 86.3576.79
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular Disease85.8777.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control 13.6218.24
ACO-41Diabetes: Eye Exam48.3944.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure 78.9170.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic92.9285.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)99.4388.67
ACO-33Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)91.0679.67

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
For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
Note: In the Quality Performance Results file(s) above, search for “Aledade Delaware ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A34814 in the public use files on data.cms.gov.