ACO Name and Location

Lancaster General Health Community Care Collaborative, LLC
Previous Names: N/A
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

Participant Name Participant in Joint Venture
John J. Eichenlaub, MD, PC (Drs. Eichenlaub and May) N
Quarryville Family Foot Care, PC N
Darren Barbacci N
Lancaster Rehabilitation Hospital, LLP N
Lancaster General Health - Columbia Center Y
Lancaster General Hospital N
Susquehanna Valley Women's Health Care, PC (May-Grant) N
Lancaster Pediatric Associates, Ltd. N
Lancaster Emergency Associates, Ltd. N
Lancaster Radiology Associates, Ltd. N
Lancaster Neuroscience & Spine Associates N
Orthopedic Associates of Lancaster, Ltd. N
Campus Eye Center, Ltd. N
Allergy and Asthma Center, PC N
Riverside Anesthesia Associates, Ltd. N
Hospice & Community Care N
Southeast Lancaster Health Services, Inc. (Lancaster Health Center) N
Nephrology Associates of Lancaster, Ltd. (Hypertension and Kidney Spc) N
Martin Podiatry, PC N
Pulmonary Associates of Lancaster, Ltd. N
Marilyn C. Henderson, DPM N
Lehigh Anesthesia Associates, PC N
Center Anesthesia Group, Inc. N
Lancaster Gastroenterology, Inc. N
Regional Gastroenterology Associates of Lancaster, Ltd. N
Lancaster Skin Center PC N
Lancaster Orthopedic Group, PC N
EMG Group Ltd. LLC N
Otolaryngology Physicians of Lancaster, Ltd. N
Lancaster Otolaryngology N
Family Eye Group, PC N
Lancaster PET Partnership, LLP Y
Palliative Medicine Consultants N
Foot & Ankle Associates of Lancaster, LLC N
The Heart Group of Lancaster General Health N
MRI Group, LLP Y
Westphal Associates, Ltd. N
RGAL Anesthesia Services, LLC N
Lancaster Ear Nose And Throat LLC N
Westphal Orthopedics, LLC N
Lancaster Retina Specialists, PC N
Francis J. Manning, MD, PC N
Prime Anesthesia Associates PC N

ACO Governing Body

Last
Name
First
Name
Title/
Position
Member's
Voting
Power
Membership
Type
ACO Participant Legal
Business Name/DBA,
if Applicable
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 Medical Director 1 ACO Participant
Representative
Lancaster General
Medical Group
Addis, MD Christopher Voting Member 1 ACO Participant
Representative
Lancaster General
Hospital
Shepherd, MD Rebecca Voting Member 1 ACO Participant
Representative
Lancaster General
Medical Group
Kraybill, MD Leon Voting Member 1 ACO Participant
Representative
Lancaster General
Hospital
Young, MD Brian Voting Member 1 ACO Participant
Representative
Lancaster General Health -
Columbia Center
Pulliam, MD Ward Voting Member 1 ACO Participant
Representative
The Heart Group
of LG Health
Tifft, MD Stephen 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 Voting Member 1 ACO Participant
Representative
EMG Group
Boben, MD William Voting Member 1 ACO Participant
Representative
Lancaster Pediatric
Associates
Roberts Karen Voting Member 1 ACO Participant
Representative
May/Grant Associates
Pavlica, MD Michael Voting Member 1 ACO Participant
Representative
Family Eye Group
Derrico, MD Ann Marie Voting Member 1 ACO Participant
Representative
Lancaster Health Center
Briguglio, MD John Voting Member 1 ACO Participant
Representative
Lancaster Radiology
Associates
Troxell, DO Corey Voting Member 1 ACO Participant
Representative
Lancaster Orthopedic Group
Harrold, MD Joan Voting Member 1 ACO Participant
Representative
Palliative Medicine
Consultants
Horvat, MD Craig 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 and Committee Leadership

Committee Name Committee Leader Name and Position
Quality Committee Jeffrey Martin, 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 Quality Performance Results

ACO # Measure Name Rate 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 Readmission 13.59 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 15.75 18.46
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 Future 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 78.04 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 (HTN): Controlling High Blood Pressure 67.77 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 80.00 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

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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