ACO Public Reporting

ACO Name and Location:
Central Virginia Accountable Care Collaborative, LLC

Centra Alliance (dba name)
1901 Tate Springs Road
Lynchburg, VA 24501

ACO Public Reporting 2019

a3599_-_central_virginia_accountable_care_collaborative_llc_-public_r_june_2020.pdf

ACO Primary Contact:
Karel Bemis, ACO Director

karel.bemis@centrahealth.com

434-200-5632

Medicare Shared Savings Program Coordinator:
Susan Brown

434-200-4947

Browsu2@centrahealth.com

Organizational Information

Centra ACO Press Release (March 21, 2018)

ACO participants

Brian D. Buchanan MD	Lynchburg Pulmonary Associates
Centra Medical Group Llc	Radiology Consultants Of Lynchburg
CVNL One, P.C.	Pathology Consultants of Central Virginia, Inc
Pris, Plc.	Central Virginia Imaging, LLC
Southside Urology Clinic	Neurology Associates of Lynchburg, Inc.

ACO participants in joint ventures between ACO professionals and hospitals

Brian D. Buchanan MD

Centra Medical Group Llc

Radiology Consultants Of Lynchburg

CVNL One, P.C.

Pathology Consultants of Central Virginia, Inc

Pris, Plc.

Central Virginia Imaging, LLC

Southside Urology Clinic

Neurology Associates of Lynchburg, Inc.

Lynchburg Pulmonary Associates

ACO Governing Body

VACANT *(10%)

Giuliana Allega, MD, Voting Board Member, ACO Participant Representative (10%)

Chad Hoyt, MD (10%)

Janice Luth, MD, Voting Board Member, ACO Participant Representative (10%)

David Pruitt, MD, Voting Board Member, ACO Participant Representative (10%)

Les Reed, MD, Voting Board Member, ACO Participant Representative, (10%)

William Gayle, MD, Voting Board Member, Medicare Beneficiary Representative (10%)

Elizabeth Cook, MD, Voting Board Member, ACO Participant Representative (10%)

Michael Elliot, PharmD, ACO Participant Representative (10%)

Chris Thomson, MD Voting Board Member, ACO Participant Representative (10%)

Kirk Sydnor, MD, ACO Participant Representative 10%

*Member's Voting Power expressed as a percentage

Key ACO Clinical and Administrative Leadership

ACO Executive: Dr. Chris Thomson

Medical Director: Dr. Chris Thomson

Compliance Official: Jeffery Wiggins, JD, MHA, CHC, CICA

Quality Assurance/Improvement Officer: Susan Brown, RN

Data Security Officer for ACO: Karel Bemis

Associated Committees and Committee Leadership

Committee Name	Committee Leader Name and Position
Governance	Kirk Sydnor, MD ACO Member
Health IT	Karel Bemis, Director of Accountable Care
Primary Care	Ann Thomas, MD, ACO Member
Professional Standards	Clinton Beverly, MD ACO Member
Quality	(interim Susan Brown, RN)

Content coming soon.

List of Skilled Nursing Facilities

Content coming soon.

Types of ACO Participants or Combinations of Participants that Formed the ACO

Network of individual practices of ACO professionals

Amount of Shared Savings/Losses

Agreement period beginning 2018, Performance Year 2018: Not Released

Shared Savings Distribution

Agreement period beginning 2018, Performance Year 1

Proportion invested in infrastructure: N/A
Proportion of distribution to ACO participants:

PCPs:

( Total Provider $$ in Pool / Total # of Eligible Providers ) x # of Providers in Eligible Practice x 1.20 = Bonus earned by PCP Practice

SCPs:

( Total Provider $$ in Pool / Total # of Eligible Providers ) x # of Providers in Eligible Practice x .80 = Bonus earned by SCP Practice

Amount of Shared Savings/Losses

First Agreement Period

- Performance Year 2018, $0

Shared Savings Distribution

First Agreement Period

- Performance Year 2018

- - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A

Quality Performance Results

2018 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	81.04	86.14
ACO-2	CAHPS: How Well Your Providers Communicate	93.14	93.93
ACO-3	CAHPS: Patients’ Rating of Provider	92.08	92.45
ACO-4	CAHPS: Access to Specialists	82.73	81.50
ACO-5	CAHPS: Health Promotion and Education	62.18	59.26
ACO-6	CAHPS: Shared Decision Making	68.76	61.94
ACO-7	CAHPS: Health Status/Functional Status	74.41	73.35
ACO-34	CAHPS: Stewardship of Patient Resources	24.23	26.26
ACO-8	Risk Standardized, All Condition Readmission	14.84	14.98
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	18.43	18.59
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	40.76	37.01
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	78.03	76.75
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	64.44	59.00
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	1.68	1.98
ACO-11	Use of Certified EHR Technology	100.00	98.20
ACO-12	Medication Reconciliation Post-Discharge	77.89	85.91
ACO-13	Falls: Screening for Future Fall Risk	93.73	79.73
ACO-44	Use of Imaging Studies for Low Back Pain	61.90	64.36
ACO-14	Preventive Care and Screening: Influenza Immunization	66.34	72.71
ACO-15	Pneumonia Vaccination Status for Older Adults	75.00	75.97
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	58.06	76.83
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	26.32	72.81
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	85.55	66.74
ACO-19	Colorectal Cancer Screening	66.92	68.27
ACO-20	Breast Cancer Screening	62.20	71.96
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	88.35	81.47
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	21.29	15.51
ACO-41	Diabetes: Eye Exam	44.98	52.42
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	65.35	73.10
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	96.06	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 “Central Virginia Accountable Care Collaborative, LLC” or “CVACC” to view the quality performance results. This ACO can also be found by using the ACO ID A3599 in the public use files on data.cms.gov.

2019 Reporting Period

Amount of Shared Savings/Losses

First Agreement Period

Performance Year 2018, $0

Second Agreement Period

Performance Year 2019, $0

Shared Savings Distribution

First Agreement Period
- Performance Year 2018
  - Proportion invested in infrastructure: N/A
  - Proportion of distribution to ACO participants: N/A
  - Proportion invested in redesigned care processes/resources: N/A
Second Agreement Period
- Performance Year 2019
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A

Quality Performance Results

2019 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	78.94	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	93.95	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	92.01	92.69
ACO-4	CAHPS: Access to Specialists	81.75	81.54
ACO-5	CAHPS: Health Promotion and Education	62.18	59.26
ACO-6	CAHPS: Shared Decision Making	68.76	61.94
ACO-7	CAHPS: Health Status/Functional Status	74.41	73.35
ACO-34	CAHPS: Stewardship of Patient Resources	24.23	26.26
ACO-8	Risk Standardized, All Condition Readmission	14.84	14.98
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	18.43	18.59
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	40.76	37.01
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	78.03	76.75
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	64.44	59.00
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	1.68	1.98
ACO-11	Use of Certified EHR Technology	100.00	98.20
ACO-12	Medication Reconciliation Post-Discharge	77.89	85.91
ACO-13	Falls: Screening for Future Fall Risk	93.73	79.73
ACO-44	Use of Imaging Studies for Low Back Pain	61.90	64.36
ACO-14	Preventive Care and Screening: Influenza Immunization	66.34	72.71
ACO-15	Pneumonia Vaccination Status for Older Adults	75.00	75.97
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	58.06	76.83
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	26.32	72.81
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	85.55	66.74
ACO-19	Colorectal Cancer Screening	66.92	68.27
ACO-20	Breast Cancer Screening	62.20	71.96
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	88.35	81.47
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	21.29	15.51
ACO-41	Diabetes: Eye Exam	44.98	52.42
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	65.35	73.10
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	96.06	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