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 |
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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
- Performance Year 2018
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.
- For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
- For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
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.