Heritage Valley Accountable Care Organization

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)
Beaver Valley Foot Clinic PC No
Dr. Joseph W. Bozek Jr P.C. No
The Foot and Ankle Wellness Center of Western Pennsylvania, Inc No
Tibor Ketzan, M.D., P.C. No
Greater Pittsburgh Orthopaedic Associates Inc No
Center for Digestive Health and Nutrition No
Ophthalmology Associates of Osborne Inc. No
Sewickley Eye Center, LTD No
Straka & McQuone Inc No
Brighton Radiology Associates, P.C. No
Surgical Associates of Sewickley No
Beaver Valley Pathology Associates, Ltd No
Valley Gastroenterology Associates PC No
Edward Carnvale No
College Hill Podiatry Inc No
Jeffrey T Molinaro DPM PC No
Chris T. O'Donnell M.D., PC No
Heritage Valley Multispecialty Group, Inc. No
Tri State Obstetrics & Gynecology No
Association of Specialty Physicians, Inc. No
Valley Medical Facilities, Inc. No
Nicholas Tapyrik, M.D., Ltd No
Joseph J. Ciocca MD LLC No
Amy D'Antonio, M.D., LLC No
Pain Diagnostics & Interventional Care LLC 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 1 ACO Participant Heritage Valley Multispecialty Group, Inc.
Mitry Norman CEO 1 Other - parent organization Valley Medical Facilities, Inc. 
Rosenberger Robert CFO 1 Other - parent organization Valley Medical Facilities, Inc. 
Osten, MD Kathleen Medical Director 1 ACO Participant Heritage Valley Multispecialty Group, Inc.
O’Donnell, MD Chris Secretary/Treasurer 1 ACO Participant Chris T. O'Donnell M.D., PC
Cratty, MD Michael Member 1 ACO Participant Valley Medical Facilities, Inc. 
Perry, MD Stephanie Member 1 ACO Participant Heritage Valley Multispecialty Group, Inc.
Wohar, MD John Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
Feldmeier, MD Curtis Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
Woodske, MD Matthew Member 1 ACO Participant Heritage Valley Multispecialty Group, Inc.
Kim, MD Richard Member 1 ACO Participant Center for Digestive Health and Nutrition, Inc.
Yakish, MD S. Dale Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
House, MD Kenneth Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
Mahmood, DO      Saad Member 1 ACO Participant Valley Medical Facilities, Inc.
Hogan, MD    Richard Member 1 ACO Participant Heritage Valley Multispecialty Group, Inc.
Belich, MD Stephen Member 1 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

Craig Barr ACO Executive
Kathleen Osten, MD Medical Director
Victoria Alberti Compliance Officer
Kathy Osten, MD Quality Assurance/Improvement Officer

 

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Finance Committee Richard Kim, MD, Chairperson
Credentialing Committee Curt Feldmeier, MD, Chairperson
Quality Assurance Committee Kathleen Osten, MD, Chairperson

 

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

  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    -    Performance Year 2018: $1,287,971
    -    Performance Year 2019: $1,702,462

Shared Savings Distribution

  • First Agreement Period
    -    Performance Year 2018
         -    Proportion invested in infrastructure: 0%
         -    Proportion invested in redesigned care processes/resources: 20%
         -    Proportion of distribution to ACO participants: 80%
  • Performance Year 2019
         -   Proportion invested in infrastructure: 6%
         -   Proportion invested in redesigned care processes/resources: 20%
         -   Proportion of distribution to ACO participants: 74%

 

Quality Performance Results

2019 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.36  85.86
ACO-2 CAHPS: How Well Your Providers Communicate 95.30 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.67 92.69
ACO-4 CAHPS: Access to Specialists 80.00 81.54
ACO-5 CAHPS: Health Promotion and Education 61.07 60.44
ACO-6 CAHPS: Shared Decision Making 65.36 62.78
ACO-7 CAHPS: Health Status/Functional Status 72.14 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 24.23 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 92.69 92.84
ACO-46 CAHPS: Care Coordination 86.51 86.89
ACO-8 Risk Standardized, All Condition Readmission 15.00 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 66.57 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.25 1.87
ACO-13 Falls: Screening for Future Fall Risk 80.00 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 73.93 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 56.25 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 79.45 70.40
ACO-19 Colorectal Cancer Screening 75.29 70.76
ACO-20 Breast Cancer Screening 82.26 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.17 82.17
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.63 13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 72.53 75.04

                                                                                            

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Payment Rule Waivers

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

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.