ACO Name and Location

Lancaster General Health Community Care Collaborative, LLC
555 North Duke Street
PO Box 3555
Lancaster, PA 17604

 

ACO Primary Contact

Primary Contact Name Kevin Bogari
Primary Contact Phone Number 717-544-5511
Primary Contact Email Address info@lghealth.org
 

Organizational Information

ACO Participants ACO Participant in Joint Venture
John J. Eichenlaub, MD, PC No
Quarryville Family Foot Care, PC No
Lancaster Rehabilitation Hospital, LLP Yes
Lancaster General Health - Columbia Center No
Lancaster General Hospital No
Susquehanna Valley Women's Health Care, PC No
Lancaster Pediatric Associates, LTD No
Lancaster Emergency Associates, LTD No
Lancaster Radiology Associates, LTD No
Lancaster Neuroscience & Spine Associates No
Orthopedic Associates of Lancaster, LTD No
Campus Eye Center, LTD No
Allergy and Asthma Center, PC No
Riverside Anesthesia Associates, LTD No
Hospice & Community Care No
Southeast Lancaster Health Services, Inc. No
Nephrology Associates of Lancaster, LTD No
Martin Podiatry, PC No
Pulmonary Associates of Lancaster, LTD No
Marilyn C. Henderson, DPM No
Lehigh Anesthesia Associates, PC No
Center Anesthesia Group, Inc. No
Lancaster Gastroenterology, Inc. No
Lancaster General Medical Group No
Regional Gastroenterology Associates of Lancaster, LTD No
Lancaster Orthopedic Group, PC No
EMG Group LTD LLC No
Otolaryngology Physicians of Lancaster, LTD No
Lancaster Otolaryngology No
Family Eye Group, PC No
Lancaster Physicians for Women, LTD No
Lancaster PET Partnership, LLP Yes
Palliative Medicine Consultants No
Foot & Ankle Associates of Lancaster, LLC No
The Heart Group of Lancaster General Health No
MRI Group, LLP Yes
RGAL Anesthesia Services, LLC No
Lancaster Ear Nose And Throat LLC No
Westphal Orthopedics, LLC No
Lancaster Retina Specialists, PC No
Francis J. Manning, MD, PC No
Cancer Care for Women, PC No
 

ACO Governing Body

Last Name First Name Title/Position Member's Voting Power Membership Type ACO Participant Legal Business Name/DBA
Foley, MD T. Raymond Chairperson  1

ACO Participant Representative

Lancaster General Medical Group
Bogari, RN Kevin President  1 ACO Participant Representative Lancaster General Hospital
Wood, MD            John C Medical Director  1 ACO Participant Representative Lancaster General Medical Group
Addis, MD Christopher T. Voting Member  1 ACO Participant Representative Lancaster General Hospital
Shepherd, MD Rebecca M. Voting Member  1 ACO Participant Representative Lancaster General Medical Group
Kraybill, MD Leon S.  Voting Member  1 ACO Participant Representative Lancaster General Hospital
Young, MD Brian J. Voting Member  1 ACO Participant Representative Lancaster General Health - Columbia Center
Pulliam, MD R. Ward Voting Member  1 ACO Participant Representative The Heart Group of LG Health
Tifft, MD Stephen W. Voting Member  1 ACO Participant Representative Lancaster General Medical Group
Wesbury, PhD Stuart Voting Member  1 ACO Participant Representative N/A
Legenstein Walt Voting Member  1 ACO Participant Representative N/A
Polin, MD David G. Voting Member  1 ACO Participant Representative EMG Group
Boben, MD William R. Voting Member  1 ACO Participant Representative Lancaster Pediatric Associates
Yingling, MD Bryan L. Voting Member  1 ACO Participant Representative May/Grant Associates
"Pavlica, MD Michael R. Voting Member  1 ACO Participant Representative Family Eye Group
Johnsen-Martin, DO Kirsten Voting Member  1 ACO Participant Representative SouthEast Lancaster Health Services
Briguglio, MD John Voting Member  1 ACO Participant Representative Lancaster Radiology Associates
Kager, MD Christopher D. Voting Member  1 ACO Participant Representative Lancaster NeuroScience and Spine Associates
Harrold, MD Joan K. Voting Member  1 ACO Participant Representative Palliative Medicine Consultants
Horvat, MD Craig P. Voting Member  1

ACO Participant Representative

Pulmonary Associates of Lancaster
 

Key ACO Clinical and Administrative Leadership

ACO Executive Kevin Bogari
Medical Director John Wood, MD
Compliance Officer Elizabeth Katz
Quality Assurance/Improvement Officer Michael Ripchinski, MD
 

Associated Committees & Committee Leadership

Quality Committee Rodney Brenneman, MD - Chair
Finance Committee Stephen Tifft, MD - Chair
Clinical Integration Committee David Polin, MD - Chair
 

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    Performance Year 2017, $0
  • First Agreement Period
    Performance Year 2016, $0
    Performance Year 2015, $0
    Performance year 2014, $0

Shared Savings Distribution

  • Second Agreement Period
    Performance Year 2017
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • 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
  • Performance Year 2015
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2014
    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 2017

ACO# Measure Name Rate ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information 78.33
80.60
ACO-2
CAHPS: How Well Your Providers Communicate 93.65 93.13
ACO-3
CAHPS: Patients’ Rating of Provider 92.48 92.31
ACO-4
CAHPS: Access to Specialists 80.62 83.32
ACO-5
CAHPS: Health Promotion and Education 63.85 62.30
ACO-6 CAHPS: Shared Decision Making
76.37
75.85
ACO-7
CAHPS: Health Status/Functional Status
75.89
73.05
ACO-34
CAHPS: Stewardship of Patient Resources 21.68 25.68
ACO-8
Risk Standardized, All Condition Readmissions 13.59 15.01
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 15.75 18.46
ACO-36
All-Cause Unplanned Admissions for Patients with Diabetes
46.36
53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 65.29 79.16
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 48.76
61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91) 1.17 1.93
ACO-11
Use of Certified EHR Technology 100.00 98.48
ACO-12
Medication Reconciliation 98.11 75.32
ACO-13
Falls: Screening for Fall Risk 65.00 74.38
ACO-44 Imaging Studies for Low Back Pain 68.18 67.32
ACO-14
Preventive Care and Screening: Influenza Immunization 76.01 72.52
ACO-15
Pneumonia Vaccination Status for Older Adults 93.31
72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 40.51 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
96.60 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
72.39
61.98&
ACO-19 Colorectal Cancer Screening 78.13 64.58
ACO-20 Breast Cancer Screening 80.00 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.04 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 10.89 16.74
ACO-41 Diabetes: Eye Exam 58.87 50.37
ACO-28 Hypertension: Controlling High Blood Pressure 67.77 71.47
ACO-30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 85.07 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 “Lancaster General Health Community Care Collaborative, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A66745 in the public use files on data.cms.gov.

Payment Rule Waivers
No, our ACO does not use the SNF 3-Day Rule Waiver

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