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 page provides information regarding PSHCP’s participation in that program.

ACO Name and Location

Central PA Health Network LLC Penn State Health
Penn State Milton S. Hershey Medical Center
Population Health – CA 220
PO Box 850
Hershey, PA 17033

ACO Primary Contact

Primary Contact Name: Andrew Barna
Primary Contact Phone: 717-531-0003 ext. 282593
Primary Contact Address: abarna@pennstatehealth.psu.edu

Organizational Information

ACO Participants:

Timothy Malak
St. Joseph Medical Group
St. Joseph Regional Health Network
Berks Cardiologists, LTD
Digestive Disease Associates, LTD
JM Winston Radiology Associates, Inc.
Wyomissing Optometric Center, Inc.
Integrated Medical Group, PC
Physicians' Alliance, LTD.
The Milton S. Hershey Medical Center
The Milton S. Hershey Medical Center Physician Group
Berks Pathology Associates, Inc.
Premier Foot & Ankle Associates, PC

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

Compliance Information

Compliance Plan 07-01-2018
Code of Conduct 07-18-2018

ACO Governing Body

Board of Managers:

Susan Promes, M.D., Voting Member and Chair, ACO Participant Rep, The Milton S. Hershey Medical Center

John Morahan, Voting Member and Vice Chair, ACO Participant Rep, St. Joseph Regional Health Network

Christopher Newman, M.D., Voting Member and Secretary/Treasurer, ACO Participant Rep, St. Joseph Medical Group

Alan Brechbill, Voting Member, ACO Participant Rep, The Milton S. Hershey Medical Center

Todd Stanton, Voting Member, ACO Participant Rep, The Milton S. Hershey Medical Center

Steve Massini, Voting Member, ACO Participant Rep, The Milton S. Hershey Medical Center

William Bird, D.O., Voting Member, ACO Participant Rep, The Milton S. Hershey Medical Center

Peter Dillon, M.D., Voting Member, ACO Participant Rep, The Milton S. Hershey Medical Center Physicians Group

Lloyd Wolf, D.O., Voting Member, ACO Participant Rep, St. Joseph Medical Group

Sharon Strohecker, Voting Member, ACO Participant Rep, St. Joseph Regional Health Network

Ronald Polinsky, M.D., Voting Member, ACO Participant Rep, St. Joseph Medical Group

Mary Hahn, Voting Member, ACO Participant Rep, St. Joseph Regional Health Network

Ken Laird, Voting Member, Medicare Beneficiary Representative

Charles Mershon, M.D., Voting Member, Other - CIN member but not a Participant

Anthony Cardell, M.D., Voting Member, Other - CIN member but not a Participant

Key ACO Clinical and Administrative Leadership

ACO Executive: Susan Promes
Medical Director: William Bird, D.O.
Compliance Officer: Kimberly Lansford
Quyality Assurance/Improvement Officer: William Curry, M.D.

ACO Committees and Committee Leadership

Executive Committee:

Susan Promes, M.D., Chair

State College Oversight Committee:

William Bird, D.O., Co-Chair
Anthony Cardell, M.D., Co-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 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • 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

Quality Performance Results

2016 Quality Performance Results


Measure
Number
Measure Name 2016 Reporting Period
ACO
Performance
Rate
Mean
Performance Rate
(SSP-ACOs)
ACO #1 CAHPS: Getting Timely Care, Appointments, and Information 82.17 79.9
ACO #2 CAHPS: How Well Your Providers Communicate 94.05 92.63
ACO #3 CAHPS: Patients’ Rating of Provider 92.5 91.93
ACO #4 CAHPS: Access to Specialists 83.21 83.52
ACO #5 CAHPS: Health Promotion and Education 62.55 60
ACO #6 CAHPS: Shared Decision Making 78.8 75.28
ACO #7 CAHPS: Health Status/Functional Status 73.42 71.82
ACO #34 CAHPS: Stewardship of Patient Resources 28.5 27.52
ACO #8 Risk Standardized, All Condition Readmission 14.81 14.7
ACO #35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.95 18.17
ACO #36 All-Cause Unplanned Admissions for Patients with Diabetes 50.52 53.2
ACO #37 All-Cause Unplanned Admissions for Patients with Heart Failure 72.86 75.23
ACO #38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 56.68 59.81
ACO #9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 8.07 9.27
ACO #10 Ambulatory Sensitive Conditions Admission: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 15.75 14.53
ACO #11 Percent of Primary Care Physicians who Successfully Meet Meaningful Use Requirements 99.04 82.72
ACO #39 Documentation of Current Medications in the Medical Record 77.68 87.54
ACO #13 Falls: Screening for Future Fall Risk 78.86 64.04
ACO #14 Preventive Care and Screening: Influenza Immunization 70.78 68.32
ACO #15 Pneumonia Vaccination Status for Older Adults 77.42 69.21
ACO #16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up 64.52 74.45
ACO #17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.32 90.98
ACO #18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 44.35 53.63
ACO #19 Colorectal Cancer Screening 62.9 61.52
ACO #20 Breast Cancer Screening 69.35 67.61
ACO #21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 87.1 76.84
ACO #42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.22 77.72
ACO #27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.13 18.24
ACO #41 Diabetes: Eye Exam 61.29 44.94
ACO #28 Hypertension (HTN): Controlling High Blood Pressure 74.19 70.52
ACO #30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 95.16 85.05
ACO #31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 92.41 88.67
ACO #33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 66.88 79.67

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

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