Heritage Valley Healthcare Network ACO, LLC - Heritage Valley Health System

ACO Name and Location

Heritage Valley Healthcare Network ACO, LLC
1000 Dutch Ridge Road
Beaver, PA 15009

ACO Primary Contact

Primary Contact Name	Craig Barr, Executive Director
Primary Contact Phone Number	724.773.4578
Primary Contact Email Address	cbarr@hvhs.org

Organizational Information

ACO participants

ACO Participants	Participant in Joint Venture (Enter Y or N)
Amy D’Antonio, M.D., LLC	No
Annmarie Ray (MDVIP)	No
Beaver Valley Foot Clinic, P.C.	No
Beaver Valley Pathology Associates, Ltd..	No
Joseph Bozek, P.C.	No
Brighton Radiology Associates, P.C.	No
Center for Digestive Health and Nutrition	No
Chris T. O’Donnell, M.D. PC	No
College Hill Podiatry Inc.	No
Daniel J. Nadler, M.D. PC	No
Dentistry for Children & Teens, Inc.	No
ENT & Allergy Specialists of Western PA, P.C.	No
Gerald M. Goltz, M.D. & Associates	No
Greater Pittsburgh Orthopaedic Associates	No
Heritage Valley Multispecialty Group, Inc.	No
Jeffrey T Molinaro DPM PC (Oakdale Foot and Ankle Center)	No
Joseph J. Ciocca, MD, LLC	No
Pain Diagnostics and Interventional Care, LLC	No
Sewickley Eye Center, LTD	No
Teredesai, McCann, & Associates	No
Tibor Ketzan, M.D.	No
Heritage Valley OB/GYN	No
Valley Gastroenterology Associates	No
Valley Medical Facilities, Inc.	No

ACO Governing Body

Last Name	First Name	Title/Position	Member’s Voting Power – Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Jackson, MD	Timothy	Chairperson	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
Mitry	Norman	CEO	7.143%	Other – parent organization	Valley Medical Facilities, Inc.
Osten, MD	Kathleen	Medical Director	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
O’Donnell, MD	Chris	Secretary/Treasurer	7.143%	ACO Participant	Chris T. O’Donnell M.D., PC
Cratty, MD	Michael	Member	7.143%	ACO Participant	Valley Medical Facilities, Inc.
Perry, MD	Stephanie	Member	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
Wohar, MD	John	Member	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
Woodske, MD	Matthew	Member	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
Kim, MD	Richard	Member	7.143%	ACO Participant	Center for Digestive Health and Nutrition, Inc.
D’Auria, MD	Stephen	Member	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
Morgan, MD	Christopher	Member	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
Keitzer, MD	Lauren	Member	7.143%	ACO Participant	Valley Medical Facilities, Inc.
Hogan, MD	Richard	Member	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
Feldmeier, MD	Curtis	Member	7.143%	Medicare Beneficiary Representative	N/A
Barr	Craig	Executive Director	0	Other – parent organization	Valley Medical Facilities, Inc. (Heritage Valley Health System)

Key ACO Clinical and Administrative Leadership

Norman Mitry	ACO Executive
Kathleen Osten, MD	Medical Director
Victoria Alberti	Compliance Officer
Kathleen Osten, MD	Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name	Committee Leader Name and Position
Finance Committee	Richard Kim, MD, Chairperson
Credentials Committee	Chris O’Donnell, MD, Chairperson
Quality Assurance Committee	Kathleen Osten, MD, Chairperson

Types of ACO participants, or combinations of participants, that formed the ACO:

ACO professionals in a group practice arrangement
Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period
– Performance Year 2022: $1,532,570
First Agreement Period
– Performance Year 2021: $3,666,939
– Performance Year 2020: $2,322,000
– Performance Year 2019: $1,702,462
– Performance Year 2018: $1,287,971

Shared Savings Distribution

Second Agreement Period
- Performance Year 2022
  – Proportion invested in infrastructure: 10%
  – Proportion invested in redesigned care processes/resources: 20%
  – Proportion of distribution to ACO participants: 70%
First Agreement Period
- Performance Year 2021
  – Proportion invested in infrastructure: 8%
  – Proportion invested in redesigned care processes/resources: 20%
  – Proportion of distribution to ACO participants: 72%
- Performance Year 2020
  – Proportion invested in infrastructure: 7%
  – Proportion invested in redesigned care processes/resources: 20%
  – Proportion of distribution to ACO participants: 73%
- Performance Year 2019
  – Proportion invested in infrastructure: 6%
  – Proportion invested in redesigned care processes/resources: 20%
  – Proportion of distribution to ACO participants: 74%
- Performance Year 2018
  – Proportion invested in infrastructure: 5%
  – Proportion invested in redesigned care processes/resources: 20%
  – Proportion of distribution to ACO participants: 75%

Quality Performance Results

2022 Quality Performance Results: Quality performance results are based on CMS Web Interface

Measure #	Measure Name	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	7.09	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	81.53	76.97
236	Controlling High Blood Pressure	70.87	76.16
318	Falls: Screening for Future Fall Risk	83.20	87.83
110	Preventative Care and Screening: Influenza Immunization	78.97	77.34
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	81.25	79.27
113	Colorectal Cancer Screening	81.50	75.32
112	Breast Cancer Screening	85.32	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	86.86	86.37
370	Depression Remission at Twelve Months	12.22	16.03
321	CAHPS for MIPS [3]	N/A	N/A
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	0.1481	0.1510
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	31.34	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	87.33	83.96
CAHPS-2	How Well Providers Communicate	95.74	93.47
CAHPS-3	Patient’s Rating of Provider	94.68	92.06
CAHPS-4	Access to Specialists	79.96	77.00
CAHPS-5	Health Promotion and Education	63.99	62.68
CAHPS-6	Shared Decision Making	70.71	60.97
CAHPS-7	Health Status and Functional Status	75.52	73.06
CAHPS-8	Care Coordination	88.75	85.46
CAHPS-9	Courteous and Helpful Office Staff	94.03	91.97
CAHPS-11	Stewardship of Patient Resources	28.27	25.62

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Waiver for Payment for Telehealth Services:
Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

Fraud and Abuse Waivers

ACO Pre-Participation Waiver: None
ACO Participation Waiver: None

Corporate Compliance Hotline: In cooperation with HVHS, HVHN ACO is utilizing the HVHS Hotline, to which all HVHN ACO Personnel can anonymously report any corporate compliance concerns, issues or potential violations of the CCP requirements. The Hotline number is 724-773-3473. All reports will be handled per HVHS established policies and procedures.

HVHN ACO Personnel may at any time report directly to the HVHN ACO CCO. The CCO can be reached through e-mail at valberti@hvhs.org or by calling 412-749-7652.