Accountable Care Organization

UVA Community Health ACO Public Reporting

ACO Name and Location

UVA Community Health Accountable Care Organization, LLC
8700 Sudley Road
Manassas, VA 20110

ACO Primary Contact

James Min, MD, ACO Executive
703-559-1403 | [email protected]

Organizational Information

ACO Participants

ACO Participants	ACO Participating in Joint Venture
UVA Community Health Medical Group, LLC	N

ACO Governing Body

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as Percentage or Number)	Membership Type	ACO Participant Legal Business Name and D/B/A, if applicable
Steve	Von Elton, MD	Chair, Voting Member	14.3	ACO Participant	UVA Community Health Medical Group, LLC
Kara	Siford, MD	Vice Chair, Voting Member	14.3	ACO Participant	UVA Community Health Medical Group, LLC
Steven	Tang, MD	Voting Member	14.3	ACO Participant	UVA Community Health Medical Group, LLC
Chris	Ward, MD	Voting Member	14.3	ACO Participant	UVA Community Health Medical Group, LLC
Chris	Heaton, MD	Voting Member	14.3	ACO Participant	UVA Community Health Medical Group, LLC
Victoria	Hammonds, MD	Voting Member	14.3	ACO Participant	UVA Community Health Medical Group, LLC
John	Grzejka	Voting Member	14.3	Medicare Beneficiary	N/A

Key ACO Clinical and Administrative Leadership

ACO Executive | James Min, MD
Medical Director | Kara Siford, MD
Compliance Officer | Nicolette Meister
Quality Assurance/Improvement Officer | Michelle Strider

Associated Committees and Committee Leadership

Committee Name	Committee Leader Name and Position
ACO Quality Committee	Michelle Strider, Chair

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

ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings and Losses

Second Agreement Period
- Performance Year 2023, $0
- Performance Year 2022, $595,988.44
- Performance Year 2021, $808,676.42
- Performance Year 2020, $803,751.14
First Agreement Period
- Performance Year 2019, $2,443,666.80
- Performance Year 2018, $0
- Performance Year 2017, $0

Shared Savings Distribution

Second Agreement Period
- Performance Year 2023
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 15%
  - Proportion of distribution to ACO participants: 70%
- 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: 15%
  - Proportion invested in redesigned care processes/resources: 15%
  - Proportion of distribution to ACO participants: 70%
- Performance Year 2020
  - Proportion invested in infrastructure: 47%
  - Proportion invested in redesigned care processes/resources: 37%
  - Proportion of distribution to ACO participants: 16%

First Agreement Period
- Performance Year 2019
  - Proportion invested in infrastructure: 9%
  - Proportion invested in redesigned care processes/resources: 53%
  - Proportion of distribution to ACO participants: 38%
- Performance Year 2018
  - 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 2017
  - 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

2023 Quality Performance Results

Quality performance results are based on CMS Web Interface.

Measure #	Measure Name	Collection Method	Rate	ACO Mean
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	80.25	83.41
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.035	94.08
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	93.23	92.49
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	73.35	75.33
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	57.46	64.11
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	55.66	61.77
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.85	74.49
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	85.72	86.19
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	91.16	92.62
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	22.18	26.24
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control2	CMS Web Interface	9.74	9.84
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	89.67	80.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	78.66	77.80
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	83.87	89.42
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	61.15	70.76
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	48.15	79.29
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	68.94	77.14
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	73.32	80.36
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	89.24	87.05
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	13.79	16.58
Measure# 479	Hospital-wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2	Administrative Claims	0.16	0.1553
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	N/A	29.49

For previous years’ Financial and Quality Performance Results, please visit data.cms.gov.