Governance & Public Reporting

ACO Name and Location

Christiana Care Quality Partners ACO, LLC 
4755 Ogletown-Stanton Road
Newark, DE 19718

ACO Primary Contact:
Tony Reed
302-428-2105
anthony.reed@christianacare.org

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Curtis Smith

N

Westside Family Healthcare, Inc.

N

Bayhealth Medical Center, Inc.

N

Christiana Care Health Services, Inc

 N

DOVER FAMILY PHYSICIANS PA

N

QUALITY FAMILY PHYSICIANS, PA

N

ACO Governing Body:

Member Last Name

Member First Name

Member Title/Position

Member’s Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Dixit-Patel

Priya

Family Medicine Physician

9.09

ACO Participant Representative

Christiana Care Health Services, Inc.

Donohue-Henry

Christine

Chief Population Health Officer

9.1

ACO Participant Representative

Christiana Care Health Services, Inc.

Ford

Rebecca

Population Health Director of Finance

9.09

ACO Participant Representative

Christiana Care Health Services, Inc.

Gupta

Preeti

Family Medicine Physician

9.09

ACO Participant Representative

Bayhealth Medical Center, Inc.

Hayes

Evelyn

Medicare Beneficiary Representative

9.09

ACO Participant Representative

N/A

Roger

Kerzner

Chief Medical Officer

9.09

ACO Participant Representative

Christiana Care Health Services, Inc.

Lainoff

David

Family Medicine Physician

9.09

ACO Participant Representative

Christiana Care Health Services, Inc.

Patel

Sharad

Family Medicine Physician

9.09

ACO Participant Representative

Dover Family Physicians PA

Siegelman

Gary

Chief Medical Officer

9.09

ACO Participant Representative

Bayhealth Medical Center, Inc.

Stephens

Thomas

Chief Medical Officer

9.09

ACO Participant Representative

Westside Family Healthcare, Inc.

Willey

Kathy

Family Medicine Physician

9.09

ACO Participant Representative

Quality Family Physicians, PA

Vacancies (5)

          

Key ACO Clinical and Administrative Leadership:

ACO Executive: Tony Reed
Medical Director: Rose Kakoza
Compliance Officer: Erin Witkosky          
Quality Assurance/Improvement Officer: Michelle Adams

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Quality Improvement Committee

Michelle Adams, Director of Ambulatory Quality 

ACO Compliance Committee

Erin Witkosky, ACO Compliance Officer

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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2021, $3,445,695
    • Performance Year 2020, $9,573,291
    • Performance Year 2019, $0
  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
    • Performance Year 2016, $0

Shared Savings Distribution

  • Second Agreement Period
    • 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

Quality Performance Results

2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface.

Measure #

Measure Name

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

9.68

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

89.02

74.38

236

Controlling High Blood Pressure

73.06

74.87

318

Falls: Screening for Future Fall Risk

95.44

87.03

110

Preventative Care and Screening: Influenza Immunization

89.59

80.52

226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

96.15

80.97

113

Colorectal Cancer Screening

84.06

73.63

112

Breast Cancer Screening

86.52

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

93.28

84.24

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

0.1525

0.1540

MCC1

 

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)

37.75

33.94

CAHPS-1

Getting Timely Care, Appointments, and Information

80.23

84.67

CAHPS-2

How Well Providers Communicate

91.33

93.56

CAHPS-3

Patient’s Rating of Provider

90.53

92.19

CAHPS-4

Access to Specialists

68.93

78.80

CAHPS-5

Health Promotion and Education

72.72

61.61

CAHPS-6

Shared Decision Making

61.88

60.89

CAHPS-7

Health Status and Functional Status

72.75

71.78

CAHPS-8

Care Coordination

83.81

85.66

CAHPS-9

Courteous and Helpful Office Staff

89.39

91.88

CAHPS-11

Stewardship of Patient Resources

25.33

24.71

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

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

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

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