ACO Participants

 
  • Charleston Internal Medicine Inc
  • Chesapeake Medical Center, PLLC
  • Comprehensive Health Solutions, PLLC
  • DUNBAR MEDICAL ASSOCIATES PLLC
  • Family Health Associates of the Kanawha Valley PLLC
  • Finbar Powderly
  • Healthy Habits Wellness Ctr, Inc
  • John Holloway
  • Kanawha Medical Center Inc
  • Mountain State Medicine and Rheumatology PLLC
  • Patel Inc
  • Prestige Primary Care Associates PLLC
  • Spring Hill Primary Care Physicians PLLC
  • Williamson Health & Wellness Center Inc
  • WV Primary Care Inc

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

ACO Governing Body

 
  • Beckett, C. Donnovan, Voting Member, 1, Comprehensive Health Solutions, PLLC
  • Moore, Franklin, Voting Member, 1, Prestige Primary Care Associates PLLC
  • Miller, Jon, Voting Member, 1, Healthy Habits Wellness Ctr, Inc
  • Holloway, John, Voting Member, 1, John Holloway
  • Bacha, Ghali, Voting Member, 1, Chesapeake Medical Center, PLLC
  • Bowden, R. Thomas, Voting Member, 1, Charleston Internal Medicine Inc
  • Skaggs, Christopher, Voting Member, 1, Spring Hill Primary Care Physicians PLLC
  • Reginald, Triplett, Voting Member, 1, Mountain State Medicine and Rheumatology PLLC
  • Powderly, Finbar Gerard, Voting Member, 1, Finbar G. Powderly MD
  • Patel, Rohit, Voting Member, 1, Patel Inc
  • Sheth, Ashish, Voting Member, 1, West Virginia Primary Care, Inc.
  • DeTemple, Julie, Voting Member, 1, Family Health Associates of Kanawha Valley PLLC
  • Lilly, Jonathan, Voting Member, 1, Medical Director DUNBAR MEDICAL ASSOCIATES PLLC
  • Jagannath, Thopsie, Voting Member, 1, Kanawha Medical Center Inc
  • Johnson, Vickie, Voting Member, 1, Williamson Health & Wellness Center Inc
  • Wishire, John, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Angelo, Bill, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Wagner, Colleen, Voting Member, Chair Person, 1, Aledade, Inc.

Key Clinical and Administrative Leadership

 
  • Executive Director: Ms. Colleen Wanger
  • Medical Director: Dr. Jonathan Lilly
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson
  •  

ACO Committees and Committee Leaderships

 
  • Beneficiary Engagement Committee: Dr. Jonathan Lilly, Chair
  • Transitions of Care Committee: Dr. Franklin Moore, Chair
  • Compliance Committee: Dr. Jonathan Lilly
  • Evidence-Based Medicine Committee: Dr. Christopher Skaggs Chair

Composition of ACO

 
  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

 

First Agreement Period

  • Performance Year 2017, $2,950,672
  • Performance Year 2016, $1,566,654
 

How Shared Savings Are Distributed

First Agreement Period

Performance Year 2017

Performance Year 2016

10%

 

Reinvest in infrastructure

30%

 

Invested in redesigned care processes/resources

60%

 

Distribution to ACO Participants

100%

 

Primary Care Professionals

N/A

 

Specialists

N/A

 

Hospital

Quality Reporting

2017 Quality Performance Results:

2017 Quality Performance Results:   
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.
ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information83.6480.6
ACO-2CAHPS: How Well Your Providers Communicate93.9193.13
ACO-3CAHPS: Patients’ Rating of Provider94.2292.31
ACO-4CAHPS: Access to Specialists84.883.32
ACO-5CAHPS: Health Promotion and Education63.462.3
ACO-6CAHPS: Shared Decision Making72.8375.85
ACO-7CAHPS: Health Status/Functional Status68.3373.05
ACO-34CAHPS: Stewardship of Patient Resources32.9725.68
ACO-8Risk Standardized, All Condition Readmission15.0715.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)17.3518.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure76.4579.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions54.7661.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.651.93
ACO-11Use of Certified EHR Technology10098.48
ACO-12Medication Reconciliation99.775.32
ACO-13Falls: Screening for Future Fall Risk78.7574.38
ACO-44Imaging Studies for Low Back Pain58.8267.32
ACO-14Preventive Care and Screening: Influenza Immunization79.5972.52
ACO-15Pneumonia Vaccination Status for Older Adults79.5772.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up77.7870.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention97.5290.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan74.5561.98
ACO-19Colorectal Cancer Screening72.3664.58
ACO-20Breast Cancer Screening76.3170.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease82.6479.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control14.3316.74
ACO-41Diabetes: Eye Exam58.9250.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure72.8471.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic93.6586.86

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

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

Note: In the Quality Performance Results file(s) above, search for “Aledade West Virginia ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A79194 in the public use files on data.cms.gov.

Payment Rule Waivers

 
  • No, our ACO does not utilize the SNF 3-Day Rule Waiver