ACO Participants

  • Belington Community Medical Services Association, Inc
  • BLUESTONE HEALTH ASSOCIATION INC
  • Cabin Creek Health Center, Inc.
  • CAMDEN ON GAULEY MEDICAL CENTER INC
  • Change, Incorporated
  • Clay-Battelle Health Services Association
  • LINCOLN COUNTY PRIMARY CARE CENTER INC
  • Monongahela Valley Association of Health Centers, Inc.
  • New River Health Association, Inc
  • Rainelle Medical Center Inc
  • SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
  • St George Medical Clinic Inc
  • TUG RIVER HEALTH ASSOCIATION, INC.
  • Valley Health Systems, Inc.
  • WESTERN MARYLAND HEALTH CARE CORPORATION
  • WIRT COUNTY HEALTH SERVICES ASSOCIATION INC
  • WomenCare Inc

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

ACO Governing Body

  • Ruf, Eric, Voting Member, 1, ACO Participant Representative, Belington Medical Clinic
  • Glover, Graig, Voting Member, 1, ACO Participant Representative, WomenCare, Inc.
  • Robinson, Craig, Voting Member, 1, ACO Participant Representative, Cabin Creek Health Center, Inc.
  • Vandergrift, Nancy, Voting Member, 1, ACO Participant Representative, Monongahela Valley Association of Health Centers, Inc.
  • Weimer, Mathew, Voting Member, 1, ACO Participant Representative, Valley Health Systems, Inc.
  • Thomas, Rebecca, Voting Member, 1, ACO Participant Representative, Clay-Battelle Health Services Association
  • Schultz, John, Voting Member, 1, ACO Participant Representative, New River Health Association Inc
  • Raveaux, Judy, Voting Member, 1, ACO Participant Representative, Change, Incorporated
  • Atha-Rader,Kristi, Voting Member, 1, ACO Participant Representative, Rainelle Medical Center Inc
  • Morris, Janice Voting Member and Medicare Beneficiary Representative, 1, N/A
  • Wagner, Colleen, Voting Member, 1, ACO Executive, Aledade, Inc.

Key ACO Clinical and Administrative Leadership

  • ACO Executive: MS. Colleen Wagner
  • Medical Director: Dr. Matthew Weimer
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

  • Beneficiary Engagement Committee: L.J. Fauber, Chair
  • Evidence-Based Medicine Committee: Matthew Weimer, Chair
  • Compliance Committee: Matthew Weimer, Chair
  • Performance Improvement Committee: Steve Shattls, Chair

Composition of ACO

  • Federally Qualified Health Center (FQHC)

Amount of Shared Savings/Losses

  • First Agreement Period
  • Performance Year 2017, $0

How Shared Savings Are Distributed

N/A

Reinvest in infrastructure

N/A

Invested in redesigned care processes/resources

N/A

Distribution to ACO Participants

100%

Primary Care Professionals

N/A

Specialists

N/A

Hospital

Quality Reporting

2016 Quality Performance Results:

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 N/A80.51
ACO-2CAHPS: How Well Your Providers Communicate N/A93.01
ACO-3CAHPS: Patients’ Rating of Provider N/A92.25
ACO-4CAHPS: Access to Specialists N/A83.49
ACO-5CAHPS: Health Promotion and EducationN/A60.32
ACO-6CAHPS: Shared Decision Making N/A75.4
ACO-7CAHPS: Health Status/Functional Status N/A72.3
ACO-34CAHPS: Stewardship of Patient Resources N/A26.97
ACO-8Risk Standardized, All Condition ReadmissionN/A14.7
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)N/A18.17
ACO-36All-Cause Unplanned Admissions for Patients with DiabetesN/A53.2
ACO-37All-Cause Unplanned Admissions for Patients with Heart FailureN/A75.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic ConditionsN/A59.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)N/A9.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)N/A14.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use RequirementsN/A82.72
ACO-39Documentation of Current Medications in the Medical RecordN/A87.54
ACO-13Falls: Screening for Future Fall Risk N/A64.04
ACO-14Preventive Care and Screening: Influenza ImmunizationN/A68.32
ACO-15Pneumonia Vaccination Status for Older AdultsN/A69.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-UpN/A74.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionN/A90.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up PlanN/A53.63
ACO-19Colorectal Cancer ScreeningN/A61.52
ACO-20Breast Cancer ScreeningN/A67.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented N/A76.79
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular DiseaseN/A77.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control N/A18.24
ACO-41Diabetes: Eye ExamN/A44.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure N/A70.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another AntithromboticN/A85.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)N/A88.67
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%)N/A79.67

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 Information79.3880.6
ACO-2CAHPS: How Well Your Providers Communicate93.8393.13
ACO-3CAHPS: Patients’ Rating of Provider91.6792.31
ACO-4CAHPS: Access to Specialists78.9483.32
ACO-5CAHPS: Health Promotion and Education60.362.3
ACO-6CAHPS: Shared Decision Making75.4675.85
ACO-7CAHPS: Health Status/Functional Status71.0173.05
ACO-34CAHPS: Stewardship of Patient Resources26.3225.68
ACO-8Risk Standardized, All Condition Readmission14.7315.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)17.3718.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure86.8779.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions64.661.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))2.21.93
ACO-11Use of Certified EHR Technology10098.48
ACO-12Medication Reconciliation93.9475.32
ACO-13Falls: Screening for Future Fall Risk51.5674.38
ACO-44Imaging Studies for Low Back Pain58.4967.32
ACO-14Preventive Care and Screening: Influenza Immunization59.8772.52
ACO-15Pneumonia Vaccination Status for Older Adults64.672.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up64.0470.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention93.590.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan7561.98
ACO-19Colorectal Cancer Screening62.6264.58
ACO-20Breast Cancer Screening61.0670.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease82.679.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control20.6916.74
ACO-41Diabetes: Eye Exam38.8750.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure67.7671.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic94.7586.86

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 Accountable Care 12, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A43804 in the public use files on data.cms.gov.

Payment Rule Waivers

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