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 Governing Body: 

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:

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%
      
      
• 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%

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.

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