ACO Name and Location

CAMC Health Network LLC
3410 Staunton Avenue SE
Charleston, WV 25304

ACO Primary Contact

  Michelle Coon
  304-388-0020
  Michelle.Coon@camc.org

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Bluefield Clinic Company LLC

N

Cabin Creek Health Center Inc.

N

Charleston Area Medical Center, Inc.

N

Charleston Nephrology Hypertension and Transplant PLLC

N

Drs. Henry, Kinder & Associates, PLLC

N

Herbert J Thomas Memorial Hospital Association

N

Hospital Development Co.

N

Hygeia Facilities Foundation Inc.

N

Integrated Health Care Providers, Inc.

N

Kanawha Nephrology, Inc.

N

Montgomery General Hospital, Inc.

N

Mountaineer Cardiology PLLC

N

Princeton Community Hospital Assoc., Inc.

N

Pulmonary Associates of Char LLC

N

Rural Health Access Corporation

N

THS Physician Partners Inc.

N

Womencare Inc.

N

ACO Governing Body:

Member

Last name

Member

First Name

Member

Title/Position

Members

Voting Power (expressed as a number)

Membership Type

ACO Participants Legal Business Name and DBA if applicable

Robie, DO

E. Michael

Board Chair

Voting member (1)

ACO Participant Representative

Charleston Area Medical Center Inc

McColley, DO

Jessica

Board Member

Voting member (1)

ACO Participant Representative

Cabin Creek Health System

Coon

Michelle

Board Member

Voting member (1)

ACO Participant Representative

Charleston Area Medical Center Inc

Henry, MD

Brad

Board Member

Voting member (1)

ACO Participant Representative

Drs Henry, Kinder & Associates LLC

Hoblitzell

John

Board Member

Voting member (1)

Medicare Beneficiary

N/A

Lohuis, MD

Nancy

Board Member

Voting member (1)

ACO Participant Representative

Princeton Community Hospital

Jenkins, MD

Mary

Board Member

Voting member (1)

ACO Participant  Representative

Womencare, Inc.

Sams, DO

Debra

Board Member

Voting member (1)

CIN Participant Representative

Community Health System – GVMC

Stockett, MD

Cheryl

Board Member

Voting member (1)

CIN Participant Representative

Mon Health System

Sandene

Jeff

Board Member

Voting member (1)

ACO Participant Representative

Charleston Area Medical Center Inc.

Upton, MD

Matthew

Board Member

Voting member (1)

ACO Participant Representative

THS Physician Partners, Inc.

Zanabli, MD

Abdul

Board Member

Voting member (1)

ACO Participant Representative

Charleston Nephrology Hypertension and Transplant

Miller, DO

Lauren

Board Member

Voting member (1)

CIN Participant Representative

WVSOM – Robert C. Byrd Clinic

Young, DO

Sherri

Board Member

Voting member (1)

ACO Participant Representative

Charleston Area Medical Center Inc.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Michelle Coon
Medical Director: Sherri Young, DO
Compliance Officer: Bob Danielson
Quality Assurance/Improvement Officer: Carla VanWyck

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Quality Committee

Sherri Young, DO, Chair

Finance Committee

Jeff Sandene, Chair

Network Committee

Michelle Coon, Chair

 

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

  • ACO professionals in a group practice arrangement
  • Hospitals employing professionals
  • Federally Qualified Health Center (FQHC) and Rural Health Center (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2020, $3,125,747
  • First Agreement Period
    • Performance Year 2019, $0
       

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%
  • First Agreement Period
    • Performance Year 2019
      • 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

2020 Quality Performance Results:

ACO Quality Measure Number

Measure Name

Rate

ACO Mean

ACO-8

Risk Standardized, All Condition Readmission

 

 

ACO-38

Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions

 

 

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.01

0.95

ACO-13

Falls: Screening for Future Fall Risk

69.90

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

65.07

76.03

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

71.88

81.67

ACO-18

Preventive Care and Screening: Screening for Depression and Follow-up Plan

84.09

71.46

ACO-19

Colorectal Cancer Screening

52.34

72.59

ACO-20

Breast Cancer Screening

66.03

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

77.83

83.37

ACO-40

Depression Remission at Twelve Months

 

 

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

30.18

14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

61.44

72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures

 

 

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov