AtlantiCare's Accountable Care Organization

ACO Name and Location

AtlantiCare Health Solutions
2500 English Creek Ave
Building 500
Egg Harbor Township, NJ 08234

ACO Primary Contact

Terri Schieder
Vice President, Population Health and Business Development
2500 English Creek Ave
Building 500
Egg Harbor Township, NJ 08234
Phone (609) 407-2396
Terri.schieder@atlanticare.org

ACO Participants

  • AtlantiCare Physician Group PA
  • AtlantiCare Regional Medical Center
  • Charles M Richwine IV/Lori T. Richwine, DO PC
  • Mark Pernice, DO
  • Paul Hierholzer, DO PC
  • John F. Kasper, DO PC
  • LC Janes, DO, PC
  • Cape Atlantic Internal Medicine, PC
  • Chona Santos-Miranda, MD
  • Buena Family Practice Center, LLC.

ACO Governing Body

 

Harry Chaiken, MD, Chairman

AtlantiCare Physician Group

ACO participant Representative

Voting Member


Brian Kirchner, MD, Vice Chairman

AtlantiCare Physician Group

ACO participant Representative

Voting Member


Margaret Sykes

AtlantiCare Health Systems

Board Rep

 

Voting Member


Terri Schieder

Vice President, Population Health and Business Developments

ACO participant Representative

Voting Member


Ines Digenio, MD

AtlantiCare Regional Medical Center

ACO Participant Representative

Voting Member


Ronald Soucier, DO

AtlantiCare Physician Group

ACO Participant Representative

Voting Member


David Leavy

 

Medicare Beneficiary

Voting Member


Walter Greiner

AtlantiCare
Senior VP, Finance
Secretary/Treasurer

ACO Participant Representative

Voting Member


Lori Richwine, DO

Harbor Family Medicine

ACO Participant Representative

Voting Member


Lori Herndon

AtlantiCare Health System CEO and President

ACO Participant Representative

Voting Member


John F. Kasper, MD

John F. Kasper, DO PC

ACO Participant Representative

Voting Member


Lynn Miller Executive VP Clinical Operations Geisinger Health System    Voting Member

John Bulgur, DO Geisinger Health System    Voting Member


Key ACO Clinical and Administrative Leadership:

  1. ACO Executive: Terri Schieder
  2. Medical Director: John F. Kasper, DO
  3. Compliance Official: Robert Weaverling
  4. Quality Assurance/Improvement officer: Kimberley Krause

Associated Committees and Committee Leadership

  1. Clinical Integration Committee: Ines Digenio, MD- Chair
  2. Finance and Credentialing Committee: Brian Kirchner, MD- Chair

ACO Composition: A network of individual practices of ACO professionals, partnership or joint venture arrangement between hospital and ACO professionals.

Aggregate Amount of Shared Savings/Losses

2013- Performance Year 1 : No shared savings/losses

2014- Performance Year 2   No shared savings/losses

2015- Performance Year 3   No shared savings/losses

How Shared Savings are distributed

TBD

ACO Composition:

A network of individual practices of ACO professionals, partnership or joint venture arrangement between hospital and ACO professionals.

Aggregate Amount of Shared Savings/Losses

2013- Performance Year  1 : No shared savings/losses
2014- Performance Year  2 : No shared savings/losses
2015- Performance Year 3    TBD

 

How Shared Savings are Distributed

TBD

Quality Performance Results:

2012-2014 Quality Performance Results (docx)

Quality Performance Results
Measure Number Measure Name 2015 Reporting Period
ACO performance Mean performance rate (SSP ACOs)
1 CAHPS: Getting timely care, appointments and information 79.93 80.61
2 CAHPS: How well your doctors communicate 92.79 92.65
3 CAHPS: Patients' rating of Doctor 92.32 91.94
4 CAHPS: Access to Specialists 81.75 83.61
5 CAHPS: Health Promotion and Education 61.61 59.06
6 CAHPS: Shared Decision Making 75.05 75.17
7 CAHPS: Health Status/Functional Status 73.63 72.30
34 CAHPS: Stewardship of Patient Resources * 24.29 26.87
8 Risk Standardized, All condition Readmissions 14.24 14.86
35 Skilled Nursing Facility 30 day all-cause Readmission Measure* 17.21 18.07
36 All-cause unplanned Admissions for patients with Diabetes* 49.55 54.60
37 All-cause unplanned Admissions for patients with Heart Failure* 67.69 76.96
38 All-cause unplanned Admissions for patients with multiple Chronic Conditions 55.65 62.92
9 ASC Admissions: COPD or Asthma in older adults (AHRQ PQI #5) 0.92 1.11
10 ASC Admissions: Heart Failure (AHRQ PQI #8) 1.03 1.04
11 Percent of PCPs who successfully meet Meaningful Use Requirements 78.21 76.22
39 Documentation of current meds in medical record* 97.61 84.07
13 Falls: Screening for Future Fall Risk 54.76 54.46
14 Influenza Immunization 72.58 62.03
15 Pneumonia Vaccination for Patients 65 and Older 57.43 63.73
16 Body Mass Index (BMI) Screening and Follow-Up 72.09 71.15
17 Tobacco Use: Screening and Cessation Intervention 97.17 90.16
18 Screening for Clinical Depression and Follow-Up Plan 41.98 45.25
19 Colorectal Cancer Screening 54.76 60.06
20 Breast Cancer Screening   60.48 65.67
21 Screening for High Blood Pressure and F/U plan documented 84.06 70.04
40  Depression Remission at 12 months* N/A N/A
27  Diabetes Mellitus: Hemoglobin A1c Poor Control 11.24 20.38
 41 Diabetes Mellitus: Eye Exam* 36.55 41.05
28 Hypertension (HTN): Controlling High Blood Pressure (<140/90) 75.29 69.62
30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 87.89 83.82
31 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 80.72 87.22
33 CAD- ACE/ARB for patients with CAD and Diabetes and/or LVSD 78.99 77.33

CAHPS= Consumer Assessment of Healthcare Providers and Systems, PQI=Prevention Quality Indicator, LVSD= left ventricular systolic dysfunction, ACE= angiotensin-converting enzyme, ARB= angiotensin receptor blocker, CAD= coronary artery disease

*= Measure required beginning Reporting Year 2015

n/a= Reporting on the depression remission measure is not required for 2015, as indicated by N/A

 

 

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Please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) for general questions or additional information about Accountable Care Organizations