Public Reporting Information

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Medicare Shared Savings Program Public Reporting Information

ACO Name and Location

Princeton HealthCare Partners, LLC
Previous Names: N/A
993 Lenox Drive, Suite 205
Lawrenceville, NJ 08648

ACO Primary Contact

Primary Contact Name

Patricia Muniz

Primary Contact Phone Number

(609) 853-7256

Primary Contact Email Address

patricia.muniz@PennMedicine.Upenn.edu

 

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

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

Medical Associates Of Princeton

N

Hightstown Medical Associates

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

Hygiea Healthcare, LLC

N

Excel Family Care LLC

N

Kathryn Emily Morris, MD, LLC

N

 

 

ACO governing body:

Member

Member's Voting Power – Expressed as a percentage or number

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

Davison-DiCanto

Tracy

Treasurer/Secretary

1

ACO Participant Representative

Princeton HealthCare System

Fisch

Tobe

ACO Medical Director

0

ACO Participant

Princeton Medicine

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

Executive Director

0

Other

Princeton HealthCare System

 

 Key ACO clinical and administrative leadership:

Barbara Yost

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

     

    Shared Savings Distribution

    • First Agreement Period

             

            Quality Performance Results

            2017 Quality Performance Results:

            ACO#

            Measure Name

            Rate

            ACO Mean

            ACO-1

            CAHPS: Getting Timely Care, Appointments, and Information

            86.12

            80.60

            ACO-2

            CAHPS: How Well Your Providers Communicate

            94.28

            93.13

            ACO-3

            CAHPS: Patients’ Rating of Provider

            93.06

            92.31

            ACO-4

            CAHPS: Access to Specialists

            82.89

            83.32

            ACO-5

            CAHPS: Health Promotion and Education

            62.43

            62.30

            ACO-6

            CAHPS: Shared Decision Making

            78.89

            75.85

            ACO-7

            CAHPS: Health Status/Functional Status

            72.99

            73.05

            ACO-34

            CAHPS: Stewardship of Patient Resources

            23.65

            25.68

            ACO-8

            Risk Standardized, All Condition Readmission

            15.11

            15.01

            ACO-35

            Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

            18.17

            18.46

            ACO-36

            All-Cause Unplanned Admissions for Patients with Diabetes

            58.65

            53.95

            ACO-37

            All-Cause Unplanned Admissions for Patients with Heart Failure

            89.55

            79.16

            ACO-38

            All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

            66.59

            61.74

            ACO-43

            Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

            1.68

            1.93

            ACO-11

            Use of Certified EHR Technology

            100.00

            98.48

            ACO-12

            Medication Reconciliation

            59.82

            75.32

            ACO-13

            Falls: Screening for Future Fall Risk

            75.58

            74.38

            ACO-44

            Imaging Studies for Low Back Pain

            63.64

            67.32

            ACO-14

            Preventive Care and Screening: Influenza Immunization

            87.39

            72.52

            ACO-15

            Pneumonia Vaccination Status for Older Adults

            81.90

            72.92

            ACO-16

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

            64.09

            70.69

            ACO-17

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

            98.34

            90.48

            ACO-18

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

            71.38

            61.98

            ACO-19

            Colorectal Cancer Screening

            76.98

            64.58

            ACO-20

            Breast Cancer Screening

            76.62

            70.05

            ACO-42

            Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

            74.17

            79.89

            ACO-27

            Diabetes Mellitus: Hemoglobin A1c Poor Control

            15.71

            16.74

            ACO-41

            Diabetes: Eye Exam

            54.64

            50.37

            ACO-28

            Hypertension (HTN): Controlling High Blood Pressure

            75.84

            71.47

            ACO-30

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

            84.91

            86.86

             

            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.

            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 https://www.medicare.gov/manage-your-health/coordinating-your-care/accountable-care-organizations
            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