Western North Carolina ACO Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance - Western North Carolina, LLC
330 Seven Springs Way
Brentwood, TN 37027

Primary Contact Name	Mitchell Slade
Primary Contact Phone Number	(615) 920-7000
Primary Contact Email Address	mitchell.slade@lpnt.net

ACO Participants:

ACO Participant Legal Business Name and DBA, if applicable	ACO Participant in Joint Venture (Y or N)
DLP Frye Medical Group LLC	N
DLP Frye Regional Medical Center LLC	N
DLP Harris Regional Hospital LLC	N
DLP Hayward Regional Medical Center LLC	N
DLP Rutherford Physician Practices LLC	N
DLP Rutherford Regional Health System, LLC	N
DLP Swain County Hospital, LLC	N
DLP Western Carolina Physician Practices, LLC	N
Mountain Eye Associates PLLC	N
Smoky Mountain Foot Clinic PA	N
Western Carolina Ear Nose and Throat Specialists PLLC	N

ACO Governing Body:

Member First Name	Member Last Name	Title /Position	Members' Voting Power	Membership Type	ACO Participant Legal Business Name and DBA, if applicable
Christopher	Brown	Member	14.2857%	ACO Participant Representative	Hayward Regional Medical Center LLC
Amanda	Du Sablon, MD	Member	14.2857%	ACO Participant Representative	DLP Frye Medical Group LLC
John	Lafata, MD	Member	14.2857%	ACO Participant Representative	DLP Western Carolina Physician Practices, LLC
Kristen	Phillips	Member	14.2857%	Community Stakeholder Representative	N/A
Sandra	Reed	Member	14.2857%	ACO Participant Representative	DLP Frye Medical Group LLC
Tory	Shepherd	Member	14.2857%	ACO Participant Representative	DLP Rutherford Physician Practices LLC
Ailisa	Smith, MD	Member	14.2857%	ACO Participant Representative	DLP Frye Medical Group LLC
TBD	TBD			Medicare Beneficiary	N/A

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

ACO Executive	Mitchell Slade
Medical Director	Philip Greene, MD
Compliance Officer	Ashlie Heald
Quality Assurance/Improvement Officer	Carol Ann Hudson

Committee Name	Committee Leader Name and Position
Contracting and Finance	Matt Seagroves, Committee Chair
Quality and Performance Improvement	Carol Ann Hudson, Committee Chair

Quality performance results are based on eCQMs/MIPS CQMs

Measure #	Measure Name	Collection Type	ACO Performance	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	MIPS CQM	59.96	44.73
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	eCQM	31.30	39.11
236	Controlling High Blood Pressure	MIPS CQM	61.53	68.82
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	Administrative Claims	0.1391	0.1510
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	28.04	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	81.51	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	92.05	93.47
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	90.03	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	77.39	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	66.32	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	60.11	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	73.22	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	85.56	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	88.99	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	31.70	25.62

[1] A lower performance rate corresponds to higher quality.

For Previous Years' Financial and Quality Performance Results: please visit data.cms.com.