Tennessee Valley ACO Public Reporting

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Shared Savings Program Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance – Tennessee Valley, LLC
330 Seven Springs Way, Brentwood, TN 37027

ACO Primary Contact

Rebecca Hall
256.710.5200
becky.hall@lpnt.net

Organizational Information

ACO Participants:

ACO ParticipantsACO Participant in Joint Venture
AMG - Crockett, LLCN
AMG - Hillside, LLCN
AMG - Southern Tennessee, LLCN
Athens Physician Practices, LLCN
Athens Regional Medical Center, LLCN
Crockett Hospital LLCN
Donald E Beach PCN
ECM Health Group LLCN
ECM TVCC LLCN
Frances A Berry-Brown MDN
Hillside Hospital LLCN
Northwest Alabama Emergency Medicine LLCN
North Alabama Neuroservices LLCN
RCHP - Florence, LLCN
Restoration Primary Care PLLCN
Shoals Health Group, LLCN
Shoals Obstetrics and Gynecology, LLCN
Southern Tennessee Medical Center, LLCN
Sumner Physician Practices, LLCN
Sumner Regional Medical Center, LLCN

 

ACO Governing Body:

Member
First Name		Member
Last Name		Member Title / PositionMember’s Voting Power(As a percentage)Membership TypeACO Participant Legal Business Name, if applicable
KayFearingMember9.091%ACO Participant RepresentativeAMG - Southern Tennessee LLC
ShannonFosterMember9.091%ACO Participant RepresentativeRestoration Primary Care, PLLC
StephenFoustVice Chair

9.091%

Community Stakeholder RepresentativeN/A
JasonFuglebergMember9.091%Community Stakeholder RepresentativesAMG - Southern Tennessee LLC
SabraGentryMember9.091%ACO Participant RepresentativeSumner Physician Practices, LLC
KatherineHallChair9.091%ACO Participant RepresentativeAthens Physician Practices, LLC
GingerHamiltonMember9.091%ACO Participant RepresentativeAMG - Hillside, LLC
LoriLongMember9.091%ACO Participant RepresentativeAMG - Crockett, LLC
JohnMcClainMember9.091%Community Stakeholder RepresentativeAthens Regional Medical Center, LLC
CathySheltonMember9.091%Medicare Beneficiary RepresentativeN/A
VickieTurnboughMember9.091%ACO Participant RepresentativeAthens Physician Practices, LLC

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Rebecca Hall
Medical Director: Katherine Hall, MD
Compliance Officer: Ashlie Heald
Quality Assurance/Improvement Officer: Carol Ann Hudson

Associated Committees and Committee Leadership:

N/A

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • ACO Professionals in a group practice arrangement
  • Hospital Employing ACO Professionals
  • Network of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2024, $2,350,769
  • First Agreement Period
    • Performance Year 2023, $1,684,973
    • Performance Year 2022, $0

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
  • First Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
  • Performance Year 2022
    • N/A

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on eCQMs/MIPS CQMs collection type.

Measure #Measure TitleCollection TypePerformance RateCurrent Year Mean Performance Rate (Shared Savings Program ACOs)
321CAHPS for MIPSCAHPS for MIPS Survey6.466.67
479*Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.15930.1517
484*Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)Administrative Claims-37
001*Diabetes: Hemoglobin A1c (HbA1c) Poor ControleCQM48.428.16
134Preventative Care and Screening: Screening for Depression and Follow-up PlaneCQM47.7254.68
236Controlling High Blood PressureeCQM65.1571.39
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey84.8783.7
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey93.1793.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey92.4692.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey81.8775.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey58.9165.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey56.6662.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey70.9774.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey86.4885.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey93.0692.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey32.2626.98

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Payment for Telehealth Services:
    • N/A