ACO Participants

  • Charleston Internal Medicine Inc
  • CHARLESTON NEPHROLOGY HYPERTENSION
  • Chesapeake Medical Center, PLLC
  • Comprehensive Health Solutions, PLLC
  • Dunbar Medical Associates Lab
  • Family Health Associates of the Kanawha Valley PLLC
  • Finbar Powderly
  • Finbar Powderly
  • Healthy Habits Wellness Ctr, Inc
  • John Holloway
  • John Holloway
  • Kanawha Medical Center Inc
  • Mountain State Medicine and Rheumatology PLLC
  • Patel Inc
  • Prestige Primary Care Associates PLLC
  • South Charleston Cardiology Associates
  • Spring Hill Primary Care Physicians PLLC
  • Williamson Health & Wellness Center Inc
  • West Virginia School of Osteopathic Medicine Clinic Inc
  • WV Primary Care Inc

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

ACO Governing Body

  • Beckett, C. Donnovan, 1, Voting Member, Comprehensive Health Solutions, PLLC
  • Reginald, P. 1, Voting Member, Mountain State Medicine and Rheumatology PLLC
  • Moore, Franklin, 1, Voting Member, Prestige Primary Care Associates PLLC
  • Powderly, Finbar Gerard, 1, Voting Member, Finbar G. Powderly MD
  • Miller, John, 1, Voting Member, Health Habits Wellness Ctr, Inc
  • Patel, Rohit, 1, Voting Member, Patel Inc
  • Holloway, John, 1, Voting Member, John D. Holloway MD
  • Sheth, Ashish, 1, Voting Member, West Virginia Primary Care, Inc.
  • Bacha, Ghali, 1, Voting Member, Chesapeake Medical Center, PLLC
  • DeTemple, Julie, 1, Voting Member, Family Health Associates of Kanawha Valley PLLC
  • Bowden, R. Thomas, 1, Officer, Medical Director, Charleston Internal Medicine Group
  • Lilly, Jonathan, 1, Voting Member, Officer, Vice Chair, Dunbar Medical Associates
  • Skaggs, Christopher, 1, Voting Member, Spring Hill Primary Care Physicians PLLC
  • Jagannath, Thopsie, 1, Voting Member, Kanawha Medical Center Inc
  • Johnson, Vickie Voting Member, Williamson Health & Wellness Center Inc
  • Wooten, Brittany, 1, Voting Member, West Virginia School of Osteopathic Medicine Clinic Inc
  • Wishire, John, 1, Voting Member, Medicare Beneficiary Representative
  • Angelo, Bill, 1, Voting Member, Medicare Beneficiary Representative
  • Wagner, Colleen, 1, Voting Member, Chair, West Virginia Aledade ACO, LLC

Key Clinical and Administrative Leadership

  • Executive Director: Mr. Ahmed Haque
  • Medical Director: Dr. Tom Bowden
  • Compliance Officer: Mr. Brian Lynch
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

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

Composition of ACO

  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

  • Performance Year 2016, $1,566,654

How Shared Savings Are Distributed

First Agreement Period

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

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule 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 83.2480.51
ACO-2CAHPS: How Well Your Providers Communicate 94.3493.01
ACO-3CAHPS: Patients’ Rating of Provider 93.4692.25
ACO-4CAHPS: Access to Specialists 86.1283.49
ACO-5CAHPS: Health Promotion and Education59.2160.32
ACO-6CAHPS: Shared Decision Making 77.3875.4
ACO-7CAHPS: Health Status/Functional Status 70.6672.3
ACO-34CAHPS: Stewardship of Patient Resources 30.0726.97
ACO-8Risk Standardized, All Condition Readmission14.1914.7
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)16.5618.17
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes41.0653.2
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure60.5775.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions48.5759.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)9.359.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)11.4914.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements9682.72
ACO-39Documentation of Current Medications in the Medical Record94.9687.54
ACO-13Falls: Screening for Future Fall Risk 82.764.04
ACO-14Preventive Care and Screening: Influenza Immunization63.2868.32
ACO-15Pneumonia Vaccination Status for Older Adults72.3369.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up73.7374.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention94.0390.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan78.4153.63
ACO-19Colorectal Cancer Screening64.8661.52
ACO-20Breast Cancer Screening70.3167.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 87.9776.79
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular Disease85.677.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control 22.5718.24
ACO-41Diabetes: Eye Exam44.4444.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure 64.970.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic86.485.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)96.6388.67
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%)89.1279.67

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

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.