Governance & Public Reporting

ACO Policies

Christiana Care Quality Partners ACO, LLC (DBA eBrightHealth ACO)
4755 Ogletown-Stanton Road
Newark, DE 19718
302-733-5739

Primary Contact:
Daniel J. Elliott, M.D., Executive Director
302-623-0354
delliott@christianacare.org

Accountable Care Organization (ACO) Participants October 2020

La Red Health Center, Inc.
Curtis Smith
Westside Family Healthcare, Inc.
Trinity Medical Associates, PA
Atlantic Family Physicians, LLC
Bayhealth Medical Center, Inc.
Beebe Medical Center, Inc.
Nanticoke Memorial Hospital Inc
Christiana Care Health Services, Inc.
Mid-Sussex Medical Center, Inc.
Dover Family Physicians PA
Quality Family Physicians, PA
Beebe Physician Network, Inc.
Christiana Care Quality Partners

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

Member

Member’s Voting Power –Expressed as a percentage or number

Membership Type 

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Anthony

Harry

Vice-Chair/Family Practice Physician and Chief Medical Officer

1

ACO Participant Representative

Mid-Sussex Medical Center, Inc.

Bianchetta

Tony

Member/Med-Peds Physician/Primary Care Leader

1

ACO Participant Representative

Christiana Care Health Services, Inc.

Chasanov

William

Director of Clinical Transformation

1

ACO Participant Representative

Beebe Medical Center, Inc.

Donohue-Henry

Christine

President/Chief Population Health Officer

1

ACO Participant Representative

Christiana Care Health Services, Inc.

Gupta

Preeti

Member/Family Medicine Physician

1

ACO Participant Representative

Bayhealth Medical Center, Inc.

Hayes

Evelyn

Member/Medicare Beneficiary Representative

1

ACO Participant Representative

N/A

Keiser

Stephen

Member/Vice President of Medical Operations

1

ACO Participant Representative

Beebe Physician Network, Inc.

Lainoff

David

Member/Internal Medicine Physician and Care Standardization & CMS Contracts Clinical Director

1

ACO Participant Representative

Christiana Care Health Services, Inc.

McMurray

Robert

Member/Chief Financial Officer

1

ACO Participant Representative

Christiana Care Health Services, Inc.

Patel

Sharad

Member/Family Medicine Physician

1

ACO Participant Representative

Dover Family Physicians PA

Siegelman

Gary

Member/Senior VP and Chief Medical Officer

1

ACO Participant Representative

Bayhealth Medical Center, Inc.

Silverstein

Kenneth

Member/Chief Clinical Officer and Executive VP

1

ACO Participant Representative

Christiana Care Health Services, Inc.

Stephens

Thomas

Member/Chief Medical Officer

1

ACO Participant Representative

Westside Family Healthcare, Inc.

Teal

Cydney

Member/Family & Internal Medicine Physician, Family & Community Medicine Chair

1

ACO Participant Representative

Christiana Care Health Services, Inc.

Trumble

James

Member/Vice President Clinical Integration

1

ACO Participant Representative

Mid-Sussex Medical Center, Inc.

Willey

Kathy

Member/Family Medicine Physician

1

ACO Participant Representative

Quality Family Physicians, PA

Key Clinical and Administrative Leadership

Daniel Elliott, M.D., Executive Director
Daniel Elliott, M.D., Senior Medical Director
Christine Babenko, ACO Compliance Officer
Amanda McMullen, ACO Quality Officer

Committees

QUALITY IMPROVEMENT COMMITTEE

Daniel Elliott, M.D. – Co-Chair
Executive Director and Senior Medical Director

Amanda McMullen – Co-Chair
Vice President Population Health and Value Based Care

ACO COMPLIANCE COMMITTEE

Christine Babenko – Chair
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 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 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: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%
    • Performance Year 2018
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%
    • Performance Year 2017
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%
    • Performance Year 2016
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%

Quality Performance Results

2020 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

1.15

0.95

ACO-13

Falls: Screening for Future Fall Risk

94.82

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

91.41

76.03

ACO-17

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

95.24

81.67

ACO-18

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

85.56

71.46

ACO-19

Colorectal Cancer Screening

84.77

72.59

ACO-20

Breast Cancer Screening

87.25

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

91.58

83.37

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%)

9.06

14.70

ACO-28

Controlling High Blood Pressure

74.80

72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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.

If you are an ACO Participant and would like to receive a copy of any of the ACO’s Policies, please click here to request.