Governance & Public Reporting

ACO Name and Location

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

ACO Primary Contact:

Donna Antenucci
302-463-4873
donna.antenucci@christianacare.org

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Aspira Health

N

Bayhealth Medical Center, Inc.

N

Christiana Care Health Initiatives

N

Christiana Care Health Services, Inc

N

Curtis Smith

N

Dover Family Physicians PA

N

Westside Family Healthcare, Inc.

N

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

DonnaAntenucciVice President, Population Health Operations8.34ACO Participant RepresentativeChristiana Care Health Services, Inc.

Priya

Dixit-Patel

Family Medicine Physician

8.33

ACO Participant Representative

Christiana Care Health Services, Inc.

Christine

Donohue-Henry

Chief Population Health Officer

8.34

ACO Participant Representative

Christiana Care Health Services, Inc.

Rebecca

Ford

Population Health Director of Finance

8.33

ACO Participant Representative

Christiana Care Health Services, Inc.

Preeti

Gupta

Family Medicine Physician

8.33

ACO Participant Representative

Bayhealth Medical Center, Inc.

Evelyn

Hayes

Medicare Beneficiary Representative

8.33

ACO Participant Representative

N/A

Roger

Kerzner

Chief Medical Officer

8.33

ACO Participant Representative

Christiana Care Health Services, Inc.

David

Lainoff

Family Medicine Physician

8.33

ACO Participant Representative

Christiana Care Health Services, Inc.

Sharad

Patel

Family Medicine Physician

8.33

ACO Participant Representative

Dover Family Physicians PA

Gary

Siegelman

Chief Medical Officer

8.34

ACO Participant Representative

Bayhealth Medical Center, Inc.

Thomas

Stephens

Chief Medical Officer

8.34

ACO Participant Representative

Westside Family Healthcare, Inc.

Kathy

Willey

Family Medicine Physician

8.33

ACO Participant Representative

Christiana Care Health Services, Inc.

Vacancies (4)

     

Key ACO Clinical and Administrative Leadership:

ACO Executive: Donna Antenucci
Medical Director: Rose Kakoza
Compliance Officer: Erin Witkosky          
Quality Assurance/Improvement Officer: Melissa Myers

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

ACO Compliance

Erin Witkosky, ACO Compliance Officer

Clinical Integration & Performance

David Lainoff and Preeti Gupta, Co-Chairs,
Family Medicine Physicians

Information Technology & Analytics

Kathy Willey, Chair, Family Medicine Physician

Financing & Contracting

Rebecca Ford, Chair, Population Health Director of Finance

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 2022, $4,659,793
    • 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

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

  • Second Agreement Period
    • 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

2022 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)

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

CMS Web Interface

8.99

10.71

134

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

CMS Web Interface

86.64

76.97

236

Controlling High Blood Pressure

CMS Web Interface

77.82

76.16

318

Falls: Screening for Future Fall Risk

CMS Web Interface

95.71

87.83

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

87.62

77.34

226

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

CMS Web Interface

92.31

79.27

113

Colorectal Cancer Screening

CMS Web Interface

75.82

75.32

112

Breast Cancer Screening

CMS Web Interface

86.64

78.07

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

97.07

86.37

370

Depression Remission at Twelve Months

CMS Web Interface

9.09

16.03

479

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

Administrative Claims

0.1419

0.1510

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)

Administrative Claims

34.42

30.97

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

84.12

83.96

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

94.81

93.47

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

92.04

92.06

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

72.16

77.00

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

73.01

62.68

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

61.44

60.97

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

74.89

73.06

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

86.23

85.46

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

92.87

91.97

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

24.37

25.62

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.