ACO Name and Location

Physician Quality Partners
2131 South 17th Street
Wilmington, North Carolina 28401

ACO Primary Contact

Lydia Newman, MPP
Lydia.Newman@nhrmc.org
(910) 667-7640

Organizational Information

ACO Participants

ACO Participants in Joint Ventures Between ACO Professionals and Hospitals

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

  • Dr. Janalynn F. Beste, Voting Member and Chair, ACO Participant Representative, Coastal Family Medicine
  • Mr. John (Jack) Barto, Voting Member, ACO Participant Representative, New Hanover Regional Medical Center
  • Mr. John Gizdic, Voting Member, ACO Participant Representative, New Hanover Regional Medical Center
  • Dr. Andre J. Leonard, Voting Member, ACO Participant Representative, Intracoastal Internal Medicine
  • Dr. Charmaine A. Lewis, Voting Member, ACO Participant Representative, New Hanover Regional Hospitalists - NHRMC Physician Group
  • Dr. William T. Smith, Voting Member, ACO Participant Representative, Cape Fear Heart Associates - NHRMC Physician Group
  • Mr. David B. Sims Jr., Voting Member, Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership

  • ACO Executive and Medical Director: Dr. Samuel S. Spicer
  • Compliance Official: Ms. Lydia Newman, Executive Director, Physician Quality Partners

Associated Committees and Committee Leadership

  • Nominating Committee: Janalynn F. Beste, MD, Chair
  • Operating Committee: Charin L. Hanlon, MD, Chair
  • Compliance and Audit Committee: William T. Smith, MD, Chair

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

A hospital employing ACO professionals.

Shared Savings and Losses

Amount of Shared Savings and Losses

  • Performance Year 1:1 Not in operations
  • Performance Year 2014: Not in operations

How Shared Savings Are Distributed

  • Proportion invested in infrastructure: Not yet determined
  • Proportion invested in redesigned care processes/resources: Not yet determined
  • Proportion of distribution to ACO participants: Not yet determined


1Performance Year 1 for Shared Savings Program ACOs includes a 21- or 18-month period for ACOs with 2012 start dates and a 12-month period for ACOs with 2013 start dates. 

Quality Performance Results

 

Innovative Partnerships Asserting Waiver Protection

The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain laws that may otherwise limit innovation by ACOs participating in the Medicare Shared Savings Program ("MSSP") (see "Final Waivers in Connection with the Shared Savings Program" 76 Fed. Reg. 67,992, Nov 2, 2011; as extended by 79 Fed. Reg. 63,256, Oct 17, 2014) ("Interim Final Rule"). Pursuant to the Interim Final Rule, Physician Quality Partners, LLC (PQP) seeks waiver protection for the arrangement described below:

PQP and New Hanover Regional Medical Center (NHRMC) have entered into a Hospital Quality and Efficiency Program (HQEP) with the participation of certain members of the NHRMC medical staff in the orthopedic and spine service lines, pursuant to which NHRMC will provide compensation to be paid to PQP, which will in turn distribute a portion of such compensation to participating physicians as performance compensation for achieving certain performance targets which become applicable after achieving certain quality gates, both of which contain defined minimum thresholds of quality and efficiency.