Kennebec Region Health Alliance

Promoting Healthy Communities Since 1997

Medicare ACO - Kennebec Region Health Alliance

ACO Name and Location

Kennebec Region Health Alliance
Previous Names: N/A
10 Water Street
Waterville, ME 04901

ACO Primary Contact

Primary Contact Name

Barbara Crowley, MD

Primary Contact Phone Number

207-626-1097

Primary Contact Email Address

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Gene Cheng

Y

Kennebec Anesthesia Associates, P.A.

Y

Pathology Associates, Pa

Y

Waterville Family Practice

Y

Michael Szela

Y

Kennebec Internal Medicine Associates, P.A.

Y

Hallowell Family Practice LLC

Y

Mainegeneral Medical Center

Y

Maranacook Family Health Care, LLC PA

Y

Radiology Alliance of Maine LLC

Y

Family Focused Healthcare PLLC

Y

ACO governing body:

Member

Member's Voting Power – Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Burke

John

Chair, KRHA Medical Director

0

ACO Chairperson, ACO Medical Director

MaineGeneral Medical Center

Crowley

Barbara

Director, KRHA President

1

ACO Participant Representative

MaineGeneral Medical Center

Souders

Mark

Director, KRHA Treasurer/Secretary

1

ACO Participant Representative

MaineGeneral Medical Center

Madden

Amy

Director

1

ACO Participant Representative

MaineGeneral Medical Center

Szela

Michael

Director

1

ACO Participant Representative

Michael Szela

Brann

Terry

Director

1

ACO Participant Representative

MaineGeneral Medical Center

Gagliardi

Paul

Director

1

ACO Participant Representative

Radiology Alliance of Maine LLC

Diaz

Steve

Director

1

ACO Participant Representative

MaineGeneral Medical Center

Dionne

Andrew

Direcotr

1

ACO Participant Representative

MaineGeneral Medical Center

Hay

David

Director

1

ACO Participant Representative

MaineGeneral Medical Center

Hays

Charles

Director

1

ACO Participant Representative

MaineGeneral Medical Center

Brown

Benjamin

Director

1

ACO Participant Representative

MaineGeneral Medical Center

Arbour

Sandra

Director

1

Medicare Beneficiary

N/A

 

Key ACO clinical and administrative leadership:

Barbara Crowley

ACO Executive

John Burke

Medical Director

Margaret Naas

Compliance Officer

Wendy Jorgensen

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Clinical Integration Committee

John Burke, MD, Chairpeson

Quality Improvement Committee

Monica Beaulieu, Chairperson

Finance Committee

Mark Souders, Chairperson

Utilization Review Committee

John Burke, MD, Chairperson

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $0

Shared Savings Distribution

  • First Agreement Period
    • 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

2018 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

87.14

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

94.72

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

93.18

92.45

ACO-4

CAHPS: Access to Specialists

78.55

81.50

ACO-5

CAHPS: Health Promotion and Education

67.96

59.26

ACO-6

CAHPS: Shared Decision Making

62.69

61.94

ACO-7

CAHPS: Health Status/Functional Status

76.47

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

27.19

26.26

ACO-8

Risk Standardized, All Condition Readmission

14.67

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

16.49

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

43.19

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

82.84

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

62.60

59.00

ACO-43

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

1.91

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

71.52

85.91

ACO-13

Falls: Screening for Future Fall Risk

84.52

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

71.43

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

62.24

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

81.60

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

53.91

76.83

ACO-17

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

45.45

72.81

ACO-18

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

77.78

66.74

ACO-19

Colorectal Cancer Screening

75.50

68.27

ACO-20

Breast Cancer Screening

70.52

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

69.36

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

30.24

15.51

ACO-41

Diabetes: Eye Exam

47.58

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

72.40

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

75.40

88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Kennebec Region Health Alliance” to view the quality performance results. This ACO can also be found by using the ACO ID A3356 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

Contact Us

Kennebec Region Health Alliance
10 Water Street, Suite 202
Waterville, ME 04901
(207) 873-9842

Compliance Helpline
(207) 621-9870