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 | jbm3pr@uvahealth.org 

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.