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Medicare Shared Savings ACO Public Reporting

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ACO Name and Location

Einstein Care Partners, LLC
Previous Names: N/A
3300 Henry Avenue
Falls 2 Suite 601
Philadelphia, Pennsylvania 19129-1121

ACO Primary Contact

Primary Contact Name  Shivanandh Chandrasekaran
Primary Contact Phone Number 215-867-8821
Primary Contact Email Address chandras@einstein.edu

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Fornance Physician Services Inc N
Einstein Practice Plan Inc N
Einstein Community Health Associates, Inc        N

 

ACO governing body:

Member Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Nicholas, MD

Angela

Co-Chair

1

ACO Participant Representative

Fornance Physician Services Inc 
Sivak, MD Steven Co-Chair 1 ACO Participant Representative Einstein Practice Plan, Inc.
Behme, MD Matthew Member 1 ACO Participant Representative Einstein Practice Plan, Inc.
Datner, MD Elizabeth Member 1 ACO Participant Representative
 Einstein Practice Plan, Inc.
Dubois Ruth Member 1 Medicare Beneficiary Representative
  

Duffy

Beth

Member

1

ACO Participant Representative

Fornace Physician Services Inc
Gulati, MD
 Rohit
 Member
 1 ACO Participant Representative
 Einstein Practice Plan, Inc.
James Dixie Member 1 Other Representative Albert Einstein Medical Center
Johnson, MD Ahashta Member 1 ACO Participant Representative Fornance Physician Services Inc 
Leighton, MD John Member 1 ACO Participant Representative Einstein Practice Plan, Inc.
Levitan Ken Member 1 Other Representative Einstein Healthcare Network
Rose, MD Gina Member 1 ACO Participant Representative Fornance Physician Services Inc
Scaven, MD Christopher Member 1 ACO Participant Representative Einstein Community Health Associates, Inc.

Chandrasekaran, MD

Shivanandh

Member

0

Other Representative

Einstein Care Partners, LLC

Key ACO clinical and administrative leadership:

Shivanandh Chandrasekaran, MD

ACO Executive

Shivanandh Chandrasekaran, MD

Medical Director

Marianne DeJesus

Compliance Officer

Shivanandh Chandrasekaran, MD

Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Clinical Performance and Integration Committee

Jason Aronovitz, DO (Co-Chairperson) and Shivanandh Chandrasekaran, MD (Co-Chairperson)

Membership and Nominating Committee

Angela Nicholas, MD (Co-Chairperson) and Steven Sivak, MD (Co-Chairperson)

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

  • Performance Year 2018: $1,905,474

Shared Savings Distribution

First Agreement Period - Performance Year 2018

  • Proportion invested in infrastructure: 10%
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 80%

Quality Performance Results

2018 Quality Performance Results

ACO # Measure Name Rate  ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information
  77.54  86.14
ACO-2
 CAHPS: How Well Your Providers Communicate
  92.89  93.93
ACO-3
 CAHPS: Patients’ Rating of Provider
  91.98  92.45
ACO-4
 CAHPS: Access to Specialists
  76.63  81.50
ACO-5
 CAHPS: Health Promotion and Education
  60.92  59.26
ACO-6
 CAHPS: Shared Decision Making
  53.67  61.94
ACO-7
 CAHPS: Health Status/Functional Status
  74.90  73.35
ACO-34
 CAHPS: Stewardship of Patient Resources
  23.23  26.26
ACO-8
 Risk Standardized, All Condition Readmission
  15.56  14.98
ACO-35
 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
  18.90  18.59
ACO-36
 All-Cause Unplanned Admissions for Patients with Diabetes
  38.19  37.01
ACO-37
 All-Cause Unplanned Admissions for Patients with Heart Failure  83.26  76.75
ACO-38
 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions  63.23  59.00
ACO-43
 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)  1.85  1.98
ACO-11
 Use of Certified EHR Technology  100.00  98.20
ACO-12
 Medication Reconciliation Post-Discharge  93.45  85.91
ACO-13
 Falls: Screening for Future Fall Risk
  87.25  79.73
ACO-44
 Use of Imaging Studies for Low Back Pain
  75.86  64.36
ACO-14
 Preventive Care and Screening: Influenza Immunization  70.70  72.71
ACO-15
 Pneumonia Vaccination Status for Older Adults  76.59  75.97
ACO-16
 Preventive Care and Screening: Body Mass Index (BMI)
  66.11  76.83
ACO-17
 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
  74.19  72.81
ACO-18
 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan  62.27  66.74
ACO-19
 Colorectal Cancer Screening
  51.31  68.27
ACO-20
 Breast Cancer Screening
  66.12  71.96
ACO-42
 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
  86.24  81.47
ACO-27
 Diabetes Mellitus: Hemoglobin A1c Poor Control  22.77  15.51
ACO-41
 Diabetes: Eye Exam
  50.17  52.42
ACO-28
 Hypertension (HTN): Controlling High Blood Pressure  68.37  73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
  93.87  88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data.

Note: In the Quality Performance Results file(s) above, search for “Einstein Care Partners, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3671 in the public use files on data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:

  • No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

Waiver for Payment for Telehealth Services:

  • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.
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