Governance & Public Reporting

ACO Name and Location

Christiana Care Quality Partners ACO, LLC
Trade Name/DBA: eBrightHealth ACO 
4000 Nexus Drive
Wilmington, DE 19803

ACO Primary Contact:

Donna Antenucci
215-680-9252
donna.antenucci@christianacare.org

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Acing Med	No
Aspira Health	–
Christiana Care Health Initiatives	–
Christiana Care Health Services, Inc	–
Christiana Care Pennsylvania Inc	No
Curtis Smith	–
Dover Family Physicians PA	–
Ocean View Primary Care LLC	No

ACO Governing Body:

Member First Name	Member Last Name	Member Title/Position	Member’s Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Bradley	Sandella	Family Medicine Physician	10%	ACO Participant Representative	Christiana Care Health Services, Inc.
Christine	Donohue-Henry	Chief Population Health Officer	10%	ACO Participant Representative	Christiana Care Health Services, Inc.
David	Lainoff	Family Medicine Physician	10%	ACO Participant Representative	Christiana Care Health Services, Inc.
Evelyn	Hayes	Beneficiary Representative	10%	Medicare Beneficiary Representative	N/A
Kathy	Willey	Family Medicine Physician	10%	ACO Participant Representative	Christiana Care Health Services, Inc.
Priya	Dixit Patel	Family Medicine Physician	10%	ACO Participant Representative	Christiana Care Health Services, Inc.
Rebecca	Ford	Population Health Director of Finance	10%	ACO Participant Representative	Christiana Care Health Services, Inc.
Sharad	Patel	Family Medicine Physician	10%	ACO Participant Representative	Dover Family Physicians PA
Thomas	Stephens	CMO	10%	Other	N/A
William	Albanese	CEO	10%	ACO Participant Representative	Aspira Health

Member’s voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Donna Anenucci
Medical Director: Rose Kakoza
Compliance Officer: Erin Witkosky
Quality Assurance/Improvement Officer: Kelly Collison

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
ACO Compliance	Erin Witkosky, ACO Compliance Officer
Clinical Integration & Performance	David Lainoff MD, Chair, Family Medicine Physicians
Information Technology & Analytics	Kathy Willey MD, Chair, Family Medicine Physician
Financing & Contracting	Rebecca Ford, Chair, VP Finance Population Health/Business Planning

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

• Third Agreement Period
  • Performance Year 2026, N/A
  • Performance Year 2025, N/A
  • Performance Year 2024, $597,634.76
• Second Agreement Period
  • Performance Year 2023, $1,160,540.11
  • Performance Year 2022, $4,659,793.00
  • Performance Year 2021, $3,445,694.81
  • Performance Year 2020, $9,573,291.40
  • Performance Year 2019, $0
• First Agreement Period
  • Performance Year 2019, $0
  • Performance Year 2018, $0
  • Performance Year 2017, N/A
  • Performance Year 2016, N/A

Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution

• Third Agreement Period
  • Performance Year 2026
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2025
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2024
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%
• Second Agreement Period
  • Performance Year 2023
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2022
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2021
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2020
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2019
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
• First Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
  • Performance Year 2018
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
  • Performance Year 2017
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
  • Performance Year 2016
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA

Note: Our ACO participated in multiple performance years during Calendar Year 2019. The distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2024 Quality Performance Results:
Quality performance results are based on the CMS Web Interface collection type.

Measure #	Measure Name	Collection Type	Rate	Current Year Mean Performance Rate (SSP ACOs)
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	83.18	68.6
112	Breast Cancer Screening	CMS Web Interface	86.59	80.93
113	Colorectal Cancer Screening	CMS Web Interface	83.25	77.81
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	91.84	81.46
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	80	79.98
236	Controlling High Blood Pressure	CMS Web Interface	83.6	79.49
318	Falls: Screening for Future Fall Risk	CMS Web Interface	92.88	88.99
321	CAHPS for MIPS	CAHPS for MIPS Survey	4.78	6.67
370	Depression Remission at Twelve Months	CMS Web Interface	12.07	17.35
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	92.66	86.5
479*	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1422	0.1517
001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	7.71	9.44
484*	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	—	37
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	77.27	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.63	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	91.19	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	67.71	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	72.84	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	63.36	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.26	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	83.23	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	90.79	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	24.24	26.98

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

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day,
All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple
Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure
performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple
Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying
Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and
ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs
may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of
these ACOs do not have a performance rate calculated due to not meeting the minimum of 18
beneficiaries attributed to non-QP providers.

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.