Heritage Valley Accountable Care Organization

ACO Name and Location

Heritage Valley Healthcare Network ACO, LLC
Previous Names: N/A
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
Tri-County Medical Associates of PA, PC No
Dr. Joseph W. Bozek Jr P.C. No
Bruce Chamovitz 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 Medical 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.
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
Belich, MD Stephen Member 1 Medicare Beneficiary Representative N/A
Cratty, MD Michael Member 1 ACO Participant Valley Medical Facilities, Inc. (Heritage Valley Health System)
de Jesus, MD Michael Member 1 ACO Participant Valley Gastroenterology Associates PC
Feldmeier, MD Curtis Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
Hogan, MD    Richard Member 1 ACO Participant Heritage Valley Multispecialty Group, Inc.
House, MD Kenneth Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
Kim, MD Richard Member 1 ACO Participant Center for Digestive Health and Nutrition, Inc.
Mahmood, DO      Saad Member 1 ACO Participant Valley Medical Facilities, Inc.
Perry, MD Stephanie Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
Wohar, MD John Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
Yakish, MD S. Dale Member 1 ACO Participant Heritage Valley MultispecialtyGroup, Inc.
Mitry Norman CEO 1 Other - parent organization Valley Medical Facilities, Inc. (Heritage Valley Health System)
Randall Bryan CFO 1 Other - parent organization Valley Medical Facilities, Inc. (Heritage Valley Health System)
Barr Craig Executive Director 0 Other - parent organization Valley Medical Facilities, Inc. (Heritage Valley Health System)

 

 

Key Clinical and Administrative Leadership

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

 

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Finance Committee Richard Kim, MD, Chairperson
Credentialing Committee Michael de Jesus, MD, Chairperson
Quality Assurance Committee Kathleen Osten, MD, Chairperson

 

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

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

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%

 

Quality Performance Results

Our ACO did not participate in the Shared Savings Program in the 2017 performance year, therefore this section is not applicable at this time.

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.19 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.78 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 93.66 92.45
ACO-4 CAHPS: Access to Specialists 82.01 81.50
ACO-5 CAHPS: Health Promotion and Education 55.58 59.26
ACO-6 CAHPS: Shared Decision Making 67.86 61.94
ACO-7 CAHPS: Health Status/Functional Status 79.14 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 21.83 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.80 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.35 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes  43.73  37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 86.40 76.75
 ACO-38  All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 63.02 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.95 1.98
ACO-11 Use of Certified EHR Technology 98.74 98.20
ACO-12 Medication Reconciliation Post-Discharge 72.29 85.91
ACO-13 Falls: Screening for Future Fall Risk 84.06 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 76.92 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 73.98 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 85.66 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 64.07 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 61.29 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 77.60 66.74
ACO-19 Colorectal Cancer Screening 69.44 68.27
ACO-20 Breast Cancer Screening 75.70 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.73 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.29 15.51
ACO-41 Diabetes: Eye Exam 58.47 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 74.10 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 92.74 88.92
       

                                                                                            

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

Note: In the Quality Performance Results file(s) above, search for “Heritage Valley Healthcare Network ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3730 in the public use files on data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:
No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.  

Waiver for Payment for Telehealth Services:
No, our ACO clinicians do not 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.

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.