Public Reporting Information

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Medicare Shared Savings Program Public Reporting Information

ACO Name and Location

Princeton HealthCare Partners, LLC
993 Lenox Drive, Suite 205
Lawrenceville, New Jersey 08648

ACO Primary Contact

Primary Contact Name

Patricia Muniz

Primary Contact Phone Number

(609) 853-7256

Primary Contact Email Address

pmuniz@princetonhcs.org

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

David Barile

N

Melissa Selke

N

Kathryn Morris

N

Melissa Selke, M.D. P.C.

N

Ann Smelkinson

N

Geriatrics Associates of New Jersey, LLC

N

Srividhya Subbarayan MD Professional Association

N

Princeton HealthCare System, a New Jersey nonprofit corporation

N

Ewing Medical Associates PA

N

Princeton Pike Internal Medicine

N

Plainsboro Family Physicians

N

Hamilton Medical Group, P.C.

N

Princeton Occupational Health & Family Medicine

N

Hightstown Medical Associates

N

Ann Smelkinson

N

Garden State Physicians, P.C.

N

Plainsboro-Princeton Medical Associates, PC

N

Princeton HealthCare Affiliated Physicians PC

N

Princeton Sports and Family Medicine, P.C.

N

Medwell Internal Medicine LLC

N

David R. Barile MD LLC

N

Monroe Medical Associates PA

N

Hygiea Healthcare, LLC

N

Excel Family Care LLC

N

Kathryn Emily Morris, MD, LLC

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

Barlis

Peter

Manager

1

ACO Participant Representative

Princeton Sports and Family Medicine, PC

Fisch

Tobe

ACO Medical Director

0

ACO Participant

Princeton Medicine

Jones

Mark

Executive Director

0

Other

Princeton HealthCare System

Lubin

Hank

Physician Manager

1

ACO Participant Representative

Princeton Medicine - Hightstown Medical Associates

McCarty

Naomi

Beneficiary Manager

1

Medicare Beneficiary Representative

 

Nagy

Aubrie

Physician Manager

1

ACO Participant Representative

Princeton Medicine

Rabner

Barry

Hospital Manager

1

ACO Participant Representative

Princeton HealthCare System

Ready

Janet

Hospital Manager

1

ACO Participant Representative

Princeton HealthCare System

Risi

Mark

Physician Manager

1

ACO Participant Representative

Princeton Medicine - Rednor Risi Family Practice

Sedani

Simran

Physician Manager

1

ACO Participant Representative

Princeton Medicine

Sidhu

Harpreet

Physician Manager

1

ACO Participant Representative

Hygiea Healthcare, LLC

Sokel

Andrew

Chairperson

1

ACO Participant Represenative

Princeton Medicine - Plainsboro Family Physicians

Sokol

Deborah

Physician Manager

1

ACO Participant Representative

Princeton Medicine

Weinstein

Mark

Vice Chairman

1

ACO Participant Represenative

Princeton Medicine - Princeton Pike Internal Medicine

Yost

Barbara

Treasurer/Secretary

1

ACO Participant Representative

Princeton HealthCare System

 

Key ACO clinical and administrative leadership:

Mark Jones

ACO Executive

Tobe Fisch

Medical Director

Patricia Muniz

Compliance Officer

Tobe Fisch

Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Quality Committee

Tobe Fisch, MD, Chair

 

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

83.65

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

93.67

92.63

ACO-3

CAHPS: Patients' Rating of Provider

93.16

91.93

ACO-4

CAHPS: Access to Specialists

83.64

83.52

ACO-5

CAHPS: Health Promotion and Education

61.26

60

ACO-6

CAHPS: Shared Decision Making

77.29

75.28

ACO-7

CAHPS: Health Status/Functional Status

72.26

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

30.12

27.52

ACO-8

Risk-Standardized, All Condition Readmission

14.81

14.7

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

17.93

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

49.76

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

81.48

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

61.27

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

8.27

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

16.48

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

83.33

82.72

ACO-39

Documentation of Current Medications in the Medical Record

77.46

87.54

ACO-13

Falls: Screening for Future Fall Risk

50.64

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

87.12

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

76.44

69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

66.34

74.45

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

92.76

90.98

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

53.04

53.63

ACO-19

Colorectal Cancer Screening

81.19

61.52

ACO-20

Breast Cancer Screening

78.6

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

71.68

76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81.78

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

11.3

18.24

ACO-41

Diabetes: Eye Exam

44.52

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

73.03

70.52

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

79.55

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

63.51

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

74.8

79.67

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.   

Note: In the Quality Performance Results file(s) above, search for “Princeton HealthCare Partners, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A27912 in the public use files on data.cms.gov.to view the quality performance results. This ACO can also be found by using the ACO ID A27912 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver. 

For more information about ACOs

Visit CMS.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/
Visit Medicare.gov/manage-your-health/coordinating-your-care/ accountable-care-organizations.html.
Call 1-800-MEDICARE 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

Contact Us

Princeton HealthCare Partners, LLC
Address: 1 Plainsboro Road Plainsboro, NJ 08536
Compliance Line: 609.853.7900
Email: princetonhealthcarepartners@princetonhcs.org
ACO Primary Contact: Patricia Muniz, email pmuniz@princetonhcs.org or call 609.853.7256

Contact our Compliance Line
609.853.7900
For our ACO Primary Contact, Call
609.853.7256