Recent news and press releases of the Delaware Valley ACO
Main Line Health and Jefferson Health, both part of the Delaware Valley Accountable Care Organization, were awarded the 2020 Hospital and Healthsystem Association of Pennsylvania Achievement Award for their collective work to create a collaborative post-acute care strategy.
ACO implements evidence-based guidelines within SNF network to improve care coordination and reduce costs by $1.3 million
Radnor, PA, July 24, 2020 – MCG Health, part of the Hearst Health network and a leading provider of informed care strategies, has named Delaware Valley Accountable Care Organization (DVACO) a recipient of the 2019 Richard L. Doyle Award for Innovation and Leadership in Healthcare, awarded to the organization this spring.
The Philadelphia-area ACO was recognized for implementing a unique post-acute strategy which significantly reduced patient length of stay in skilled nursing facilities (SNFs) and improved care coordination across the post-acute continuum of care. By leveraging MCG’s Chronic Care and Recovery Facility Care guidelines and a web-based tool to track their patients’ stays in post-acute care, Delaware Valley ACO reduced the average length of stay (LOS) by one full day and achieved a $1.3 million savings in Medicare expenditures. The ACO also decreased home health spend by 8% over the same timeframe. Since the ACO’s inception in 2014, they have been able to reduce overall SNF spend in their network by an impressive 30%.
Delaware Valley ACO’s strategic initiative used claims data to define the top 20 diagnoses for patients utilizing a SNF. The ACO then partnered with MCG to publish length of stay guidelines for these diagnoses and share them across their SNF network. This critical step encouraged proactive multi-disciplinary care planning at the time of admission. In turn, this helped to identify barriers to discharge earlier in the patient’s stay and initiate the proper actions to resolve them. Delaware Valley ACO’s SNF partners now proactively communicate with a patient’s primary care physician (and/or ambulatory care coordinator) to discuss clinical, social, medication, or palliative care goals. View full Press Release on the Doyle Award
The Becker Hospital Review Meeting for April 2020 has been cancelled.
On April 7, 2020 DVACO CEO Katherine Schneider joins Jack Lynch, President and Chief Executive Officer, Main Line Health, and Bruce Meyer, M.D., President Jefferson Health; Senior Executive Vice President, Thomas Jefferson University, as part of a panel discussion: “Building Strong Provider/Payer Relationships Through Collaboration”. As part of Becker’s ongoing interview series, Dr. Schneider shared thoughts on inspiration, care models, and transformation in healthcare. View more information on the interview series.
Delaware Valley Accountable Care Organization recipient of the National Association of ACOs Innovation Award
A large percentage of patients’ care occurs in post-acute environments such as nursing facilities, home health and hospice and outpatient rehab therapy. The care provided in these environments demonstrates high variability in both quality and cost outcomes. The DVACO developed methods to measure both quality and cost outcomes (value) in post-acute care, and then defined high-value partners and effective strategies, which is a critical factor to success for any population health/value-based care endeavor.
“We were proud to receive this award which recognized our use of data to develop post-acute strategy and ultimately improve outcomes for our patients,” said Souder.
Katherine Schneider, MD, president, DVACO added, “We are honored to have been recognized by NAACOS for the broad and deep changes implemented by our physicians and hospitals, supported by data, that over the past four years have improved quality and safety while reducing the total cost of skilled nursing facility spending by 25% in our Medicare population. We are excited to continue to strengthen these collaborations as more and more emphasis is placed on excellent care coordination across the continuum and the community.”
The NAACO allows ACOs to work together to increase quality of care, lower costs and improve the health of their communities. Determined to create an environment for advocacy and shared learning, more than 360 ACOs with more than 5 million lives from all 50 states and the District of Columbia formed NAACOS.
When it comes to some of the highest-risk and most costly people in the country, “change doesn’t happen overnight.” In this January 2019 Q & A with HFMA, Dr. Schneider discusses CMS’ December 2018 ACO Final Rule and its likely impact on ACOs.
DVACO CEO Katherine A. Schneider, M.D. addressed the 2018 Health Information Technology Summit, held in Philadelphia in May 2018. Read more here to learn her thoughts on Patient Engagement and why “engagement” may now be the most overused word in health care.
New faces may be headed to Congress, but they will encounter an old problem: the threat of rising health care spending. The debate about value based payment models and what is and isn’t working is likely to be front and center in the months ahead. Find out more about alternative payment models in this informative Health Affairs blog post.
Catching up with Katherine Schneider, M.D., M.Phil., FAAFP, CEO of DVACO in an interview with Population Health News
Population Health News: How does population health integrate with accountable care?
Katherine Schneider: My motto is that ACOs are all about the “C” part of the acronym. If we don’t change the care model at an individual level, then we will not achieve improvements in outcomes, which include the health of a population, the care experience and smarter spending. I also view population health as a set of tools that we are integrating into the delivery system for data-driven quality improvement and care coordination. It is a viewpoint that expands beyond the four walls and timespan of a provider visit to include what happens to/for/by people 24/7, 365 days of the year regardless of where they are.
Population Health News: How do you embed chronic disease management in a delivery system?
Katherine Schneider: While I get annoyed when people say it’s all about the incentives, it certainly is a foundational prerequisite to have meaningful incentives aligned with better chronic disease care processes and outcomes. But you also have to teach providers new skills and give them tools. I like to use the analogy of surgeons learning to use laparoscopes decades ago. Last but not least, you need to address what should be embedded directly in a delivery system. Successful “embedding” really means transformative disruption of historical workflows of clinical practice, such as redistributing tasks to multidisciplinary teams working at the maximal scopes of their licenses. If this level of change is required of clinicians, then ensure that the rest of the system is also expected to change to support better outcomes (i.e., benefit designs which promote adherence to chronic disease self management rather than the other way around). Ultimately, we need to make doing the right thing the easiest default choice for care teams and patients. We still have a lot of work to do.
Becker’s Hospital Review has named the Delaware Valley Accountable Care Organization (DVACO) to their 2017 list of 110 ACOs to Know. The list features a variety of Medicare and commercial payer ACOs, led by hospitals, health systems, physician groups and other organizations, that have experienced success with their quality metrics.
“We are honored to be included as one of Becker’s 110 ACOs to Know,” says Katherine Schneider, MD, President of the DVACO. “Since its inception, the DVACO has enrolled more than 200,000 patients who are receiving coordinated care as part of our multi-health system joint venture. DVACO has also become one of the largest ACOs in the country and has experienced tremendous success as one of the top performing ACOs under the Medicare Shared Savings Program. As we continue to grow, DVACO will remain serving as a catalyst for change in the Philadelphia region on how to help providers come together as more than the sum of their parts in their journey from volume to value.”
The Becker’s Healthcare editorial team selected ACOs for inclusion based on quality and cost performance, advanced tracks of the Medicare Shared Savings Program and the innovative nature of commercial agreements. ACOs are presented in alphabetical order and are either listed by formal name of the ACO or, if the organization has several contracts, by the name of the health system or provider group associated with those ACOs. The full list can be viewed here.
About the Delaware Valley Accountable Care Organization (DVACO)
The Delaware Valley Accountable Care Organization (DVACO) is a limited liability company that is owned by Main Line Health and Jefferson Health, serving the Greater Philadelphia region. DVACO’s purpose is to enhance the quality of health care and reduce the growth rate of health care costs by acting as a convener, accelerator, and provider of the foundation needed to assist its participating members to transition from fee for service, a business model focused on volume, to a model focused on population health.
DVACO operates under the Medicare Shared Savings Program (MSSP) through an agreement with the Centers for Medicare and Medicaid Services (CMS). Currently DVACO is the region’s largest Medicare ACO with more than 2,000 physicians and 90,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds three performance-based contracts with private payers as well as the employees and dependents of its owners —enhancing DVACO’s total number of beneficiaries to above 250,000—a number that will likely increase in the future as DVACO participates with additional insurance payers in population health contracts.
About Becker’s Hospital Review
Becker’s Hospital Review is a monthly publication offering up-to-date business and legal news and analysis relating to hospitals and health systems. Articles are geared toward high-level hospital leaders, and we work to provide valuable information, including hospital and health system news, best practices and legal guidance specifically for these decision-makers. Each issue of Becker’s Hospital Review reaches more than 18,000 people, primarily acute care hospital CEOs, CFOs and CIOs.
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