PQP Public Reporting
ACO Name and Location:
Physician Quality Partners, LLC
P.O. Box 9000
Wilmington, NC 28402
ACO Primary Contact:
Bill Schiff
919-229-2319
BSchiff@novanthealth.org
Organizational Information
ACO Participants:
ACO Participants |
ACO Participant in Joint Venture |
---|---|
Novant Health Medical Group Coastal Region, LLC |
N |
Novant Health New Hanover Regional Medical Center, LLC |
N |
Coastal Pulmonary Medicine, PA |
N |
New Hanover Regional Medical Center |
N |
ACO Governing Body:
Member |
Member |
Member |
Member's Voting Power |
Membership Type |
ACO Participant |
---|---|---|---|---|---|
William |
Boles |
Voting Member |
10% |
ACO Participant Representative |
Novant Health Medical Group Coastal Region, LLC |
Daniel |
Goodwin |
Voting Member | 10% | ACO Participant Representative | Novant Health Medical Group Coastal Region, LLC |
Charin |
Hanlon |
Voting Member, Chair |
10% |
ACO Participant Representative |
Novant Health Medical Group Coastal Region, LLC |
Bill |
Schiff |
Voting Member, ACO Executive |
10% |
Other Representative |
N/A |
Amy |
Messier |
Voting Member |
10% |
ACO Participant Representative |
Novant Health Medical Group Coastal Region, LLC |
Rick |
Morrison |
Voting Member, Beneficiary |
10% |
Medicare Beneficiary Representative |
N/A |
Robert |
Shakar |
Voting Member |
10% |
ACO Participant Representative |
Novant Health New Hanover Regional Medical Center, LLC |
William |
Smith |
Voting Member |
10% |
ACO Participant Representative |
Novant Health Medical Group Coastal Region, LLC |
Jeffrey |
Warhaftig |
Voting Member, Medical Director |
10% |
ACO Participant Representative |
Novant Health Medical Group Coastal Region, LLC |
Laurie |
Whalin |
Voting Member |
10% |
ACO Participant Representative |
Novant Health New Hanover Regional Medical Center, LLC |
Key ACO Clinical and Administrative Leadership:
- ACO Executive: Bill Schiff
- Medical Director: Jeffrey Warhaftig, MD
- Compliance Officer: Kelly Patterson
- Quality Assurance/Improvement Officer: Diana Amedy, RN, MHA
Associated Committees and Committee Leadership:
Committee Name |
Committee Leader Name and Position |
---|---|
Physician Network Compliance Committee |
Kelly Patterson- Chair |
Quality Committee |
Dr. David Priest- Chair |
Finance Committee |
Alicia Stickle- Chair |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- Hospital employing ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Second Agreement Period
- Performance Year 2022, $2,307,408
- Performance Year 2021, $0
- Performance Year 2020, $0
- Performance Year 2019, $4,445,524
- First Agreement Period
- Performance Year 2018, $2,471,136
- Performance Year 2017, $0
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 70%
- Performance Year 2021
- 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 2020
- 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 2019
- Proportion invested in infrastructure: 36%
- Proportion invested in redesigned care processes/resources: 13%
- Proportion of distribution to ACO participants: 51%
- Performance Year 2022
- First Agreement Period
- Performance Year 2018
- Proportion invested in infrastructure: 54%
- Proportion invested in redesigned care processes/resources: 9%
- Proportion of distribution to ACO participants: 37%
- 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%
- 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 2018
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Quality Performance Results
2022 Quality Performance Results:
Quality performance results are based on the CMS Web Interface collection type.
Measure # | Measure Name |
Collection Type |
Reported Performance Rate |
Current Year Mean Performance Rate (SSP ACOs) |
---|---|---|---|---|
Measure # 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] |
CMS Web Interface |
5.96 |
10.71 |
Measure # 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan |
CMS Web Interface |
99.46 |
76.97 |
Measure # 236 | Controlling High Blood Pressure |
CMS Web Interface |
85.94 |
76.16 |
Measure # 318 | Falls: Screening for Future Fall Risk |
CMS Web Interface |
96.07 |
87.83 |
Measure # 110 | Preventative Care and Screening: Influenza Immunization |
CMS Web Interface |
91.80 | 77.34 |
Measure # 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
CMS Web Interface |
96.67 | 79.27 |
Measure # 113 | Colorectal Cancer Screening |
CMS Web Interface |
84.63 | 75.32 |
Measure # 112 | Breast Cancer Screening |
CMS Web Interface |
90.94 | 78.07 |
Measure # 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
CMS Web Interface |
92.23 | 86.37 |
Measure # 370 | Depression Remission at Twelve Months |
CMS Web Interface |
66.67 | 16.03 |
Measure # 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] |
Administrative Claims |
0.12 | 0.15 |
Measure # 484 |
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] |
Administrative Claims |
25.89 |
30.97 |
CAHPS-1 |
Getting Timely Care, Appointments, and Information |
CAHPS for MIPS Survey |
87.59 | 83.96 |
CAHPS-2 |
How Well Providers Communicate |
CAHPS for MIPS Survey |
94.73 | 93.47 |
CAHPS-3 |
Patient’s Rating of Provider |
CAHPS for MIPS Survey |
93.78 | 92.06 |
CAHPS-4 |
Access to Specialists |
CAHPS for MIPS Survey |
70.30 | 77.00 |
CAHPS-5 |
Health Promotion and Education |
CAHPS for MIPS Survey |
64.41 | 62.68 |
CAHPS-6 |
Shared Decision Making |
CAHPS for MIPS Survey |
63.26 | 60.97 |
CAHPS-7 |
Health Status and Functional Status |
CAHPS for MIPS Survey |
75.32 | 73.06 |
CAHPS-8 |
Care Coordination |
CAHPS for MIPS Survey |
87.46 | 85.46 |
CAHPS-9 |
Courteous and Helpful Office Staff |
CAHPS for MIPS Survey |
94.47 | 91.97 |
CAHPS-11 |
Stewardship of Patient Resources |
CAHPS for MIPS Survey |
29.93 | 25.62 |
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov
Payment Rule Waivers
- N/A
Fraud and Abuse Waivers
ACO Participation Waiver:
The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.
- Parties to the arrangement: Physician Quality Partners, LLC and Hospital Quality and Efficiency Program (HQEP)
- Date of arrangement: 01/01/2017
- Items, services, goods, or facility provided: The HQEP program supports PQP through aligning care goals and services for patients. It is focused on measured outcomes and driving clinical excellence.
- Date and nature of any amendments to the arrangement, if applicable: 01/01/2017 Additional areas of practice added to the HQEP (neurosurgical, anesthesiology, and pathology practices)
- Parties to the arrangement: Physician Quality Partners, LLC and J. Arthur Dosher Memorial Hospital (Dosher)
- Date of arrangement: 01/01/2017-
- Items, services, goods, or facility provided: PQP will work with Dosher through consulting and support services based on PQP's experience with promoting accountability for quality, cost and overall care, and improving quality of care while lowering costs through investments in infrastructure and redesigned care processes.
- Date and nature of any amendments to the arrangement, if applicable: First amendment – 2/15/18, Second amendment—2/1/19, Third amendment – 11/1/20, Fourth amendment –12/3/21
- Parties to the arrangement: Physician Quality Partners, LLC and Columbus Regional Healthcare System (CRHS)
- Date of arrangement: 07/24/2018
- Items, services, goods, or facility provided: POP will work with CRHS through consulting and support services based on PQP's experience with promoting accountability for quality, cost and overall care, and improving quality of care while lowering costs through investments in infrastructure and redesigned care processes.
- Date and nature of any amendments to the arrangement, if applicable: N/A