ACO Name and Location:

Accountable Care Organization of Pennsylvania, LLC (Delaware Valley ACO)
Previous Names: N/A
259 North Radnor Chester Road Suite 290
Radnor, Pennsylvania 19087

ACO Primary Contact

Primary Contact Name	Jeanette Flood
Primary Contact Phone Number	610-225-6210
Primary Contact Email Address	floodj@dvaco.org

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Abington Memorial Hospital (Abington, Abington-Lansdale and Employed Physicians)	Y
ABS Medicine LLC (Simpson Allergy & Asthma)	N
Aria Health Orthopaedics	N
Aria Health Physician Services	N
Art Of Podiatry Inc	N
Associates in Plastic Surgery, Inc	N
Balmont Family Practice	N
Barry Burkhardt	N
Brian Abaluck LLC (Main Line Center for Sleep and Memory)	N
Bryn Mawr Foot & Ankle Center, LLC	N
Bryn Mawr Medical Specialists Association	N
Christine Meyer, M.D., LLC	N
Colon & Rectal Surgery, LTD	N
Consultants In Medical Oncology & Hematology PC	N
CSB Medicine, LLC (Narberth Allergy and Asthma)	N
Daniel C. Lazowick, D.O., LLC	N
David E Samuel DPM (Foot & Ankle Specialists of Delaware County)	N
Delaware Valley Community Health, Inc.	N
Delaware Valley I.D. Associates, P.C.	N
Edward Stankiewicz	N
Founders Medical Practice P.C.	N
Geoffrey W. Temple Family Medical Associates, P.C.	N
Gerard Miller	N
Great Valley Medical Associates PC	N
Great Valley Neurological Associates LLC	N
Green And Seidner Family Practice Associates PC	N
Helen A Wolfson, MD LLC	N
Integrated Health And Wellness Center PC	N
Internal Medicine Associates PA	N
Jefferson Medical Care, PC	N
Jefferson University Physicians	N
Jefferson University Physicians of New Jersey PC	N
Jefferson University Radiology Associates Llc	N
Jon Yardney, M.D. Llc	N
Joseph LaBricciosa DO PC	N
Joseph P. Badolato, D.O., P.C.	N
Kurt R. Crowley, M.D., P.C.	N
Lester J. Groverman,M.D.&Robert J. Braunfeld,D.O.Associates,P.A. (Delaware County Family Practice)	N
Lewis Family Practice PC	N
Lower Merion Family Medicine PC	N
Lower Merion Rehabilitation	N
Lynn M. Klein, M.D., LLC	N
Magee Memorial Hospital For Convalescents	Y
Main Line Gastroenterology Associates, PC	N
Main Line Health HomeCare and Hospice	N
Main Line HealthCare	N
Main Line Hospitals, Inc. (Bryn Mawr Hospital, Bryn Mawr Rehabilitation Hospital, Lankenau Medical Center, Mirmont Treatment Center, Paoli Hospital, Riddle Hospital)	Y
Main Line Radiation Oncology PC	N
Marc D. Baer DPM LLC (Foot and Ankle Center)	N
Mazzoni Center	N
Medical Associates of the Main Line PC	N
Methodist Associates in Healthcare, Inc.	N
Michael Grossman (Main Line Foot and Ankle Center)	N
Michael Lyons	N
Mukesh Patel	N
Negrey Eye Associates	N
Paoli Family Medicine	N
Peter Christie	N
Peter R Honig Do Pc	N
Philadelphia College of Osteopathic Medicine	N
Philadelphia Family Medicne Assoc P.C.	N
Podiatry Care Specialists, PC	N
Pottstown Medical Specialists, Inc.	N
Project HOME	N
Rehabilitation Associates of the Main Line PC	N
Riddle Memorial Hospital (a Main Line Health Hospital)	Y
Rose Tree Medical Associates, LLC	N
Ross Podell, M.D., P.C.	N
Roy M Lerman MD PC (Main Line Spine)	N
Smith Medicine, PC	N
Steiner Medical and Therapeutic Center	N
Steingard And Testa Medical Associates Pc	N
Suburban Geriatric’s, Inc.	N
Surgical Care Associates	N
Tara Lyn Cuda DO PC	N
Thomas Jefferson University Hospitals, Inc. (Jefferson Hospital for Neuroscience, Methodist Hospital, Thomas Jefferson University Hospital)	Y
Tristate Colon And Rectal Associates Pc	N
Turnersville Internal Medicine And Geriatrics	N
University Gastroenterology and Hepatology Associates PC	N
Whitford Family Medicine, P.C.	N
William Greer, M.D., P.C.	N
William R. Schetman, M.D., LLC	N
Wright Plastic Surgery, P.C.	N

ACO governing body:

Member			Member’s Voting Power– Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Last Name	First Name	Title/Position
John	Lynch, III	Co-Chair	1 vote	ACO Participant Representative	Main Line Hospitals, Inc.
Bruce	Meyer, M.D.	Co-Chair	1 vote	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
Stephen	Aichele, Esq		1 vote	ACO Participant Representative
Christine	Arenson, M.D.		1 vote	ACO Participant Representative	Jefferson University Physicians
Elizabeth	Balderston		1 vote	ACO Participant Representative	Main Line Hospitals, Inc.
Peter	DeAngelis		1 vote	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
William	Greer, M.D.		1 vote	ACO Participant Representative	William Greer, M.D., P.C.
Stephen	Klasko, M.D.		1 vote	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
W. Steven	Mark, M.D.		1 vote	Medicare Beneficiary Representative
Andrew	Norton, M.D.		1 vote	ACO Participant Representative	Main Line HealthCare
Katherine	Schneider, M.D.		1 vote	Other: ACO President & Chief Executive Officer
in transition			1 vote	ACO Participant Representative
in transition			1 vote	Community Stakeholder Representative

Key ACO clinical and administrative leadership:

Katherine Schneider MD, M.Phil., FAAFP	ACO Executive (President & CEO)
Seth Rubin, MD, MSCP	Medical Director (Chief Clinical Officer)
Lawrence Ward, MD, MPH, FACP	Medical Director (Chief Clinical Officer)
Christopher Jackson	Compliance Officer
Virginia Bodycot, BSN, RN	Quality Assurance/Improvement Officer (Director, Quality Improvement)

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Clinical Integration Committee	Christine Arenson, MD, (Co-Chair) Andrew Norton, MD, (Co-Chair)
Audit and Finance Committee	Michael J. Buongiorno (Chair)
IT Steering Committee	Robert Kagarise (Chair)
Network Development Committee	Joel Port (Chair)

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
• Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

• Second Agreement Period
  • Performance Year 2017, $0

• First Agreement Period
  • Performance Year 2016, $0
  • Performance Year 2015, $0
  • Performance Year 2014, $6,567,267

Shared Savings Distribution

• Second 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

• First Agreement Period
  • 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
  • Performance Year 2014
    • Proportion invested in infrastructure: 15%
    • Proportion invested in redesigned care processes/resources: 15%
    • Proportion of distribution to ACO participants: 70%

Quality Performance Results

2017 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	81.29	80.60
ACO-2	CAHPS: How Well Your Providers Communicate	93.83	93.13
ACO-3	CAHPS: Patients’ Rating of Provider	93.84	92.31
ACO-4	CAHPS: Access to Specialists	81.09	83.32
ACO-5	CAHPS: Health Promotion and Education	67.06	62.30
ACO-6	CAHPS: Shared Decision Making	78.84	75.85
ACO-7	CAHPS: Health Status/Functional Status	74.36	73.05
ACO-34	CAHPS: Stewardship of Patient Resources	28.78	25.68
ACO-8	Risk Standardized, All Condition Readmission	15.56	15.01
ACO-35	Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)	18.34	18.46
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	58.46	53.95
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	84.49	79.16
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	64.83	61.74
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.97	1.93
ACO-11	Use of Certified EHR Technology	100.00	98.48
ACO-12	Medication Reconciliation	60.60	75.32
ACO-13	Falls: Screening for Future Fall Risk	80.30	74.38
ACO-44	Imaging Studies for Low Back Pain	68.75	67.32
ACO-14	Preventive Care and Screening: Influenza Immunization	85.38	72.52
ACO-15	Pneumonia Vaccination Status for Older Adults	81.98	72.92
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up	65.52	70.69
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	93.90	90.48
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	66.33	61.98
ACO-19	Colorectal Cancer Screening	69.35	64.58
ACO-20	Breast Cancer Screening	73.16	70.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	83.66	79.89
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	13.00	16.74
ACO-41	Diabetes: Eye Exam	61.73	50.37
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	77.74	71.47
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	91.13	86.86

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

• For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
• For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
• For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
• For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data

Note: In the Quality Performance Results file(s) above, search for “Accountable Care Organization of Pennsylvania, LLC” or “Delaware Valley ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A74161 in the public use files on data.cms.gov.

Payment Rule Waivers

• No, our ACO does not use the SNF 3-Day Rule Waiver.

*Please do not use the above form for medical questions and/or for an emergency. For medical questions, please contact your physician, and for emergencies please call 911.