DVACO Care Coordination: Supporting Primary Care

The Care Coordination department launched in the fall of 2014, with the addition of the Director of Care Coordination, Ann Marks, RN, who brings over 25 years of experience within payer and provider sectors serving special needs populations. In October 2014, the DVACO added two of its first RN care coordinators, who have since assisted over 500 patients with complex care needs. The DVACO’s care coordination team works with patients in collaboration with their primary care providers, specialists, hospital-based care managers, practice-based care coordinators, and a multitude of agencies, in an effort to reduce fragmentation of patients’ care. Our care coordinators complement existing care coordinators within the health systems’ employed practices or other ambulatory settings. Our goal is to serve as an extension of the primary care providers’ staff.   As the DVACO evolves, we seek ways to improve patient care. This requires utilizing experienced care coordinators who are primarily registered nurses or social workers, along with standardized processes for identifying patients within the population who are most likely to benefit from enhanced care coordination. Technology to support a standardized care coordination process is imperative, and includes patient identification, stratification, data analysis, care planning, alerts about gaps in care, and documentation of the overall care coordination process. A key component of the quality measures we use to evaluate the success of care coordination is continuous monitoring of emergency department utilization and inpatient hospital admissions rates. DVACO also helps monitor the patient’s transition of care from hospital to nursing home or home health, as well as to and from the patient’s own home setting. This includes evaluation of access and adherence...

Katherine A. Schneider, MD, Named President of DVACO

Katherine A. Schneider, MD, has been named President and CEO of the Delaware Valley Accountable Care Organization (DV-ACO). Dr. Schneider will provide leadership, strategic direction and ongoing administration and management for all aspects of the DV-ACO. She was selected for this role after an exhaustive search by a committee with representation from each of the organization’s five owners — Main Line Health, Jefferson Health System, Holy Redeemer Health System, Magee Rehab and Doylestown Hospital. Dr. Schneider succeeds David F. Simon who has served as CEO of the DV-ACO since its inception. Her appointment was planned to coincide with the conclusion of Simon’s responsibilities as JHS Executive Vice President and Chief Legal Officer, which resulted from the JHS restructuring earlier this year. Simon’s future endeavors include returning to full time law practice in 2015, as well as continuing as Chairman of the Pennsylvania eHealth Partnership Authority. DV-ACO Board Co-Chairs, Jack Lynch, President and CEO of Main Line Health, and Stephen Klasko, MD, President and CEO of Thomas Jefferson University and Jefferson Health System, expressed their excitement regarding the future of the organization: “We are incredibly grateful to David for his work in successfully positioning the DV-ACO for the future, and we are confident that Dr. Schneider’s clinical experience and business ingenuity will situate the DV-ACO as a pioneering model of care delivery as we partner with our physicians to deliver exceptional patient care while lowering health care costs.” “I am honored to be chosen as the new leader tasked with ensuring the continued growth and success of the Delaware Valley Accountable Care Organization,” said Dr. Schneider. “As our nation undergoes...

Doylestown Hospital and Primary Care Physician Network Join Delaware Valley ACO

Doylestown Hospital and nearly 50 primary care physicians on the Doylestown Hospital Medical Staff have agreed to join Delaware Valley ACO (“DV-ACO”), the largest Medicare Accountable Care Organization in Southeastern Pennsylvania. With this addition, DV-ACO will have approximately 400 primary care physicians in its Medicare ACO. In 2014 DV-ACO began participating in the Medicare Shared Savings Program with the twin objectives of improving the quality of care and generating cost efficiencies through better care coordination. Currently, over 30,000 Medicare fee-for- service beneficiaries are attributed to DV-ACO. This number will increase substantially in 2015 with the addition of Doylestown Hospital and its affiliated primary care practices and several other primary care practices in Southeastern PA and southern NJ. “Delaware Valley ACO gives Doylestown Hospital and our primary care physicians the opportunity to collaborate with other elite health systems,” said Jim Brexler, President and CEO of Doylestown Hospital. “The ACO framework complements the work we are already doing within the Doylestown medical community to sharpen our focus on clinical integration, a key goal of our strategic vision for the future.” “We are very excited about Doylestown Hospital and its well-regarded clinical community joining Delaware Valley ACO,” stated David F. Simon, DV-ACO President and CEO. “We also welcome Doylestown Hospital as a co-owner of the ACO, and look forward to working collectively to improve the health of the Delaware Valley...