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
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
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
KBS Anesthesia, Inc	No
Pain Diagnostics and Interventional Care, LLC	No
Sewickley Eye Center, LTD	No
Teredesai, McCann, & Associates	No
Tri-State Obstetrics and Gynecology (Heritage Valley Obstetrics & Gynecology, Inc)	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
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.
Sheffler, DO	Zachary	Member	7.143%	ACO Participant	Heritage Valley Multispecialty Group, Inc.
Kostrub, MD	Justine	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 2023: NA
- 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 2023
  – Proportion invested in infrastructure: NA
  – Proportion invested in redesigned care processes/resources: NA
  – Proportion of distribution to ACO participants: NA
- 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

2023 Quality Performance Results are based on CMS Web Interface collection type.

Measure #	Measure Name	Collection Type	Rate	Current Year Mean Performance Rate (SSP ACOs)
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	CMS Web Interface	6.85	9.84
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	86.80	80.97
236	Controlling High Blood Pressure	CMS Web Interface	77.60	77.80
318	Falls: Screening for Future Fall Risk	CMS Web Interface	91.60	89.42
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	72.80	70.76
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	58.33	79.29
113	Colorectal Cancer Screening	CMS Web Interface	85.20	77.14
112	Breast Cancer Screening	CMS Web Interface	79.12	80.36
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	85.41	87.05
370	Depression Remission at Twelve Months	CMS Web Interface	10.53	16.58
321	CAHPS for MIPS [3]	CMS Web Interface	7.47	6.25
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	CMS Web Interface	0.1518	0.1553
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	CMS Web Interface	—	35.39
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	87.14	83.68
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.00	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	93.09	92.14
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	75.38	75.97
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	62.78	63.93
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	68.12	61.60
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.50	74.12
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	85.22	85.77
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	93.36	92.31
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	32.07	26.69

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

Payment Rule Waivers

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.