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ACO Public Reporting

 

Central Maine ACO Public Reporting

ACO Name and Location

Central Maine ACO
300 Main Street
Lewiston, Maine 04240

ACO Primary Contact

Jeff Buck
207-795-2953
buckje2@cmhc.org

 

ACO participants

ACO Participants ACO Participant in Joint Venture
Central Maine Clinical Associates Corporation N
DFD Russell Medical Center Inc N
Stephen R Barter MD N
Freeport Medical Center, PA N
Androscoggin Home Health Services, Inc. N
Tri-County Mental Health Services N
Rumford Hospital N
Wilson Stream Family Practice LLC, PA N
Parkview Medical Associates, PA N
Central Maine Medical Center N
Knapp Family Practice, Llc N
Rumford Community Family Health Center Inc. N
Bridgton Hospital N
Lewiston Operations Llc (D/B/A Marshwood Center) N

 

ACO governing body:

Member
Last Name		 Member
First Name		 Member Title/
Position		 Member’s Voting Power:
expressed as a
percentage
or number		 Membership
Type		 ACO Participant
Legal Business
Name/DBA, if applicable
Alexander John President 0% ACO Participant
representative		 Central Maine Medial Center
Vacant 10% ACO Participant
representative		 Rumford Hospital
Littleson Steve 10% ACO Participant
representative		 Central Maine Medical Center
Wright Peter 10% ACO Participant
representative		 Bridgton Hospital
Salko David 10% ACO Participant
representative		 Central Maine Medical Center
Packer Joel 10% Medicare beneficiary
representative
Kane-Lewis Laurie 10% ACO Participant
representative		 DFD Russell Medical Center Inc.
Burke Mike 10% ACO Participant
representative		 Tri-County Mental Health Services
Cave Cynthia 10% ACO Participant
representative		 Lewiston Operations, Llc
(D/B/A Marshwood Center)
Albert Ken 10% ACO Participant
representative		 Androscoggin  Home Health Services, Inc.
Knapp Michelle 10% ACO Participant
representative		 Knapp Family Practice, Llc

 

Key ACO clinical and administrative leadership:

ACO Executive: Jeff Buck
Medical Director: John Alexander, M.D.
Compliance Officer: Betsey Shew, Esq. CPHQ, CMC
Quality Assurance/Improvement Officer: Rebekah Dube, Pharm.D.

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Provider Advisory Group John Alexander, MD; Chair
Ambulatory Quality Committee Michael Stadnicki, MD; Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2019, $0
  • Second Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $0
    • Performance Year 2016, $0
  • First Agreement Period
      • Performance Year 2015, $0
      • Performance Year 2014, $0
      • Performance Year 2013, $0

Shared Savings Distribution:

  • Third 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%
  • Second 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
    • Performance Year 2017
      • 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 2016
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources: N/A
        • Proportion of distribution to ACO participants: N/A
    • First Agreement Period
      • Performance Year 2015
        • 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 2014
        • 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 2013
          • 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 86.58 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 94.36 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.68 92.69
ACO-4 CAHPS: Access to Specialists 78.57 81.54
ACO-5 CAHPS: Health Promotion and Education 62.39 60.44
ACO-6 CAHPS: Shared Decision Making 57.56 62.78
ACO-7 CAHPS: Health Status/Functional Status 76.83 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 25.00 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 92.68 92.84
ACO-46 CAHPS: Care Coordination 85.14 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.23 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 50.64 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.44 1.87
ACO-13 Falls: Screening for Future Fall Risk 81.05 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 76.23 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.10 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 86.78 70.40
ACO-19 Colorectal Cancer Screening 71.37 70.76
ACO-20 Breast Cancer Screening 71.77 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 92.89 82.17
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 18.15 13.88
ACO-28 Controlling High Blood Pressure 84.27 75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.