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.

For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

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.

ACO Public Reporting Form