MSSP

Public Reporting

In January 2015, Penn State Care Health Partners was selected to be an Accountable Care Organization (ACO) in the Medicare Share Savings Program (MSSP), a program sponsored by the Centers for Medicare and Medicaid Services (CMS). This information explains PSHCP’s participation in that program.

ACO Name and Location

Central PA Health Network LLC
Previous Names: N/A
500 University Drive
PO Box 850
Population Health – CA220
Hershey, PA 17033

ACO Primary Contact

Primary Contact: Andrew Barna
Phone: 717-531-0003, x282593
Email: abarna@pennstatehealth.psu.edu

Organizational Information

ACO Participants:

Neil Chesen, MD, PC
Digestive Disease Associates, Ltd.
JM Winston Radiology Associates, Inc.
Family Medicine Associates of Wyomissing PC
Penn State Health Medical Group
Penn State Health Milton S. Hershey Medical Center
Penn State Health St. Joseph
Premier Foot & Ankle Associates PC
Wyomissing Optometric Center Inc.

No ACO participants are involved in a joint venture at this time

Compliance Information

Compliance Plan 07-01-2018 Code of Conduct 12-07-2018

ACO Governing Body

Board of Managers:

Susan Promes, MD, Voting Member, ACO Participant Representative, The Milton S. Hershey Medical Center

John Morahan, Voting Member and Chair, ACO Participant Representative, Penn State Health St. Joseph

Michael Warren, MD, Voting Member and Secretary/Treasurer, ACO Participant Representative, Penn State Health St. Joseph

Alan Brechbill, Voting Member, ACO Participant Representative, Penn State Health

Todd Stanton, Voting Member, ACO Participant Representative, Penn State Health

William Bird, DO, Voting Member, ACO Participant Representative, Penn State Health Medical Group

Lloyd Wolf, DO, Voting Member, ACO Participant Representative, Penn State Health Medical Group

Robert Hippert, Voting Member, ACO Participant Representative, Penn State Health Medical Group

Mary Hahn, Voting Member, ACO Participant Representative, Penn State Health St. Joseph

Ken Laird, Voting Member, Medicare Beneficiary Representative, N/A

Anthony Cardell, MD, Voting Member, Other, N/A

Jeffrey Miller, Voting Member, ACO Participant Representative, Penn State Health Medical Group

Deborah Berini, Voting Member, ACO Participant Representative, The Milton S. Hershey Medical Center

Jeanette Gibbs, Voting Member, ACO Participant Representative, Penn State Health Medical Group

Robert Harbaugh, Voting Member, ACO Participant Representative, Penn State Health Medical Group

Key ACO Clinical and Administrative Leadership

ACO Executive: Susan Promes, MD
Medical Director: William Bird, DO
Compliance Officer: Kimberly Lansford
Quyality Assurance/Improvement Officer: William Curry, MD
 

Associated Committees and Committee Leadership

Executive Committee:

Susan Promes, MD, Chair
Types of ACO participants, or combinations of participants, that formed the ACO:
Partnership or joint venture arrangements between hospitals and ACO professionals
 

Shared Savings and Losses

Amount of Shared Savings / Losses:

  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • First Agreement Period
    • 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
    • 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

Quality Performance Results

 
Measure
Number
Measure Name 2017 Reporting Period
ACO
Performance
Rate
Mean
Performance Rate
(SSP-ACOs)
ACO #1 CAHPS: Getting Timely Care, Appointments, and Information 83.52 80.60
ACO #2 CAHPS: How Well Your Providers Communicate 94.38 93.13
ACO #3 CAHPS: Patients’ Rating of Provider 93.38 92.31
ACO #4 CAHPS: Access to Specialists 82.47 83.32
ACO #5 CAHPS: Health Promotion and Education 62.61 62.30
ACO #6 CAHPS: Shared Decision Making 78.60 75.85
ACO #7 CAHPS: Health Status/Functional Status 72.86 73.05
ACO #34 CAHPS: Stewardship of Patient Resources 27.95 25.68
ACO #8 Risk Standardized, All Condition Readmission 14.54 15.01
ACO #35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 18.26 18.46
ACO #36 All-Cause Unplanned Admissions for Patients with Diabetes 50.59 53.95
ACO #37 All-Cause Unplanned Admissions for Patients with Heart Failure 76.11 79.16
ACO #38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.10 61.74
ACO #43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.88 1.93
ACO #11 Use of Certified EHR Technology 100.00 98.48
ACO #12 Medication Reconciliation 55.16 75.32
ACO #13 Falls: Screening for Future Fall Risk 87.50 74.38
ACO #44 Imaging Studies for Low Back Pain 77.39 67.32
ACO #14 Preventive Care and Screening: Influenza Immunization 84.23 72.52
ACO #15 Pneumonia Vaccination Status for Older Adults 85.08 72.92
ACO #16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up 61.48 70.69
ACO #17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 72.06 90.48
ACO #18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 62.35 61.98
ACO #19 Colorectal Cancer Screening 71.77 64.58
ACO #20 Breast Cancer Screening 72.18 70.05
ACO #42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.63 79.89
ACO #27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.94 16.74
ACO #41 Diabetes: Eye Exam 57.66 50.37
ACO #28 Hypertension (HTN): Controlling High Blood Pressure 68.15 71.47
ACO #30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 95.16 86.86

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

Note: In the Quality Performance Results file(s) above, search for “Central PA Health Network LLC” or "Penn State Health Care Partners" to view the quality performance results. This ACO can also be found by using the ACO ID A87355 in the public use files on data.cms.gov.

 

Payment Rule Waivers

Our ACO does not use the Skilled Nursing Facility 3-Day Rule Waiver.

 

For general questions or additional information about Accountable Care Organizations, visit medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

ACO-Specific Questions: 844-275-2128