AdvantagePoint Health Alliance - Blue Ridge, LLC
330 Seven Springs Way
Brentwood, TN 37027
| Primary Contact Name | Monica Crews |
| Primary Contact Phone Number | (434) 425-1357 |
| Primary Contact Email Address | mcrews@gatewayhealth.com |
| ACO Participants |
ACO Participant in Joint Venture (Y or N) |
| Chatham Family Medical Center PC | N |
| Clinch Valley Medical Center, INC | N |
| Clinch Valley Physician Associates LLC | N |
| Complexions Dermatology, PC | N |
| Danville Gastroenterology Center PC | N |
| Danville Patient Care Inc | N |
| Danville Physician Practices LLC | N |
| Danville Regional Medical Center LLC | N |
| Danville Womens Care PC | N |
| DLP Twin County Physician Practices, LLC | N |
| DLP Twin County Regional Healthcare LLC | N |
| Family Healthcare of Wytheville, PC | N |
| Fauquier Family Practice PLC | N |
| Fauquier Medical Center LLC | N |
| Fauquier Physician Practices LLC | N |
| Martinsville Neurological Assoc Inc | N |
| Martinsville Physician Practices LLC | N |
| Peachtree Inpatient Consulting, LLC | N |
| Piedmont Access to Health Services Inc | N |
| Piedmont Health & Wellness, PC | N |
| Two Rivers Physician Practices LLC | N |
| Wythe County Community Hospital LLC | N |
| Wythe County Physician Practices LLC | N |
| Member First Name | Member Last Name | Title/Position | Members' Voting Power | Membership Type | ACO Participant Legal Business Name |
| Mike | Caplan | Member/Chair | 11.1111% | ACO Participant Representative | Danville Physician Practices LLC |
| Nona | Crouse | Member | 11.1111% | ACO Participant Representative | Clinch Valley Physician Associates LLC |
| Stephanie | Crumpton | Member | 11.1111% | ACO Participant Representative | Sovah Physician Practices LLC |
| Steve | Heatherly | Member | 11.1111% | ACO Participant Representative | Sovah Physician Practices LLC |
| Peter | Howard | Member | 11.1111% | Medicare Beneficiary Representative | N/A |
| James | Milam | Member | 11.1111% | ACO Participant Representative | Piedmont Access To Health Services Inc |
| Kristen | Phillips | Member | 11.1111% | Community Stakeholder Representative | N/A |
| Suthanthira | Ratnasamy | Member | 11.1111% | ACO Participant Representative | Twin County Regional Healthcare, LLC |
| Kareem | Zaki | Member | 11.1111% | ACO Participant Representative | DLP Twin County Physician Practices LLC |
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
| Interim ACO Executive | Monica Crews |
| Medical Director | Mike Caplan, MD |
| Compliance Officer | Ashlie Heald |
| Quality Assurance/Improvement Officer | Carol Ann Hudson |
| Committee Name | Committee Leader Name and Position |
| Contracting and Finance | Steve Heatherly, CEO |
| Quality and Performance Improvement | Monica Crews, MSN, RN, CMCN |
2022 Quality Performance Results:
| Measure # | Measure Name | Collection Type | ACO Performance | ACO Mean |
|---|---|---|---|---|
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | MIPS CQM | 55.05 | 44.73 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | eCQM | 19.92 | 39.11 |
| 236 | Controlling High Blood Pressure | MIPS CQM | 61.46 | 68.82 |
| 321 | CAHPS for MIPS | eCQM | 6.39 | 6.08 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] | Administrative Claims | 0.1488 | 0.1510 |
| 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | Administrative Claims | 25.40 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 85.89 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 93.79 | 93.47 |
| CAHPS-3 | Patient's Rating of Provider | CAHPS for MIPS Survey | 92.82 | 92.06 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 79.74 | 77.00 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 56.91 | 62.68 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 62.79 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 73.60 | 73.06 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 87.34 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 91.56 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 29.19 | 25.62 |
[1] A lower performance rate corresponds to higher quality.
For Previous Years' Financial and Quality Performance Results: please visit data.cms.com.
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