Public Reporting

Overview


ACO Name and Location

MD Valuecare, LLC
8001 Franklin Farms Drive, Suite 130
Richmond, VA 23229

ACO Primary Contact

Shannon Lodge, ACO Administrator
8001 Franklin Farms Drive, Suite 130
Richmond VA 23229
804-306-3478
admin@mdvaluecare.com

Organizational Information

ACO Participants

“(ACO participants are not in a joint venture)”
Chickahominy Family Practice

Commonwealth Primary Care

Dominion Medical Associates

Virginia Diabetes and Endocrinology

ACO Participants in Joint Ventures Between ACO Professionals and Hospitals

None.

ACO Governing Body

Dr. John Kowalski

Dr. Damian Covington

Greg Spruill

Voting Member (11.11%), Medicare Beneficiary Representative

Dr. Dave Taminger

Dr. Steve Young

Dr. Ken Zelenak

Dr. Shea Puttkammer

Voting Member (11.11%), ACO Participant Representative, Virginia Diabetes and Endocrinology

Key Clinical and Administrative Leadership

ACO Executive

Dr. Ken Zelenak

Medical Director

Shannon Lodge

Compliance Official

Dr. Ken Zelenak

Quality Assurance / Improvement Officer

ACO Committees and Committee Leadership

Quality Committee: Dr. Ken Zelenak, Chair

Managing Committee: Lucien Roberts, Chair

Specialist Mobilization Committee: Dr. Mark Monahan, Co-Chair and Dr. Johnny Wong, Co-Chair

Types of ACO Participants, or Combinations of Participants, that Formed the ACO

Network of individual practices of ACO professionals.


Shared Savings and Losses

Amount of Shared Savings and Losses

Second Agreement Period

  • Performance Year 2018, $0
  • Performance Year 2017, $3,701,488

First Agreement Period

  • Performance Year 2016, $1,809,663
  • Performance Year 2015, $0
  • Performance Year 2014, $0

How Shared Savings Are Distributed

Second Agreement Period
Performance Year 2018 – N/A
Performance Year 2017

  • Proportion invested in infrastructure: 41%
  • Proportion invested in redesigned care processes/resources: 10% percent or dollar amount
  • Proportion of distribution to ACO participants: 49%

First Agreement Period
Performance Year 2016

  • Proportion invested in infrastructure: 100%
  • Invested in redesigned care processes/resources: 0%
  • Proportion of distribution to ACO participants: 0%

Performance Year 2015 – N/A
Performance Year 2014 – N/A


Payment Rule Waivers:
Our ACO does not utilize the SNF 3-Day Rule Waiver.

Quality Performance Results

2018 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information86.1486.14
ACO-2CAHPS: How Well Your Providers Communicate94.6393.93
ACO-3CAHPS: Patients’ Rating of Provider93.892.45
ACO-4CAHPS: Access to Specialists81.781.5
ACO-5CAHPS: Health Promotion and Education63.7559.26
ACO-6CAHPS: Shared Decision Making63.3961.94
ACO-7CAHPS: Health Status/Functional Status74.7673.35
ACO-34CAHPS: Stewardship of Patient Resources24.9426.26
ACO-8Risk Standardized, All Condition Readmission14.6114.98
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.2218.59
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes30.0437.01
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure65.1476.75
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions53.8159
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)1.491.98
ACO-11Use of Certified EHR Technology10098.2
ACO-12Medication Reconciliation Post-Discharge96.6785.91
ACO-13Falls: Screening for Future Fall Risk97.0579.73
ACO-44Use of Imaging Studies for Low Back Pain6564.36
ACO-14Preventive Care and Screening: Influenza Immunization95.6872.71
ACO-15Pneumonia Vaccination Status for Older Adults86.675.97
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up91.6476.83
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention7072.81
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan90.5266.74

Note: In the Quality Performance Results file(s) above, search for “MD Valuecare, LLC” or “MD Value Care” to view the quality performance results. This ACO can also be found by using the ACO ID A39151 in the public use files on data.cms.gov.

14600+
Patients
430+
Providers
34
Quality
Measures