Accountable Care Organization

ACO Name and Location

Inspira Care Connect, LLC
Previous Names: N/A
165 Bridgeton Pike
Mullica Hill, NJ 08062

ACO Primary Contact

Primary Contact Name

April Venable

Primary Contact Phone Number

(856) 641-6275

Primary Contact Email Address

VenableA@ihn.org

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

ELMER FAMILY PRACTICE,PC

N

The Martin Jay Kessler Medical Services, LLC

N

Edward Melman

N

Robert Patitucci

N

South Cumberland Medical Associates Pc

N

Inspira Health Network Medical Group, P.C.

N

Inspira Medical Centers, Inc.

N

Underwood-Memorial Hospital

N

Pine Street Family Practice

N

Jack M Shields, MD.

N

Arthur Starr & Sherry Lench PTR

N

Satish K. Mittal

N

JACK C WU MD PA

N

Eyexam Associates PA

N

Diering And Dipietro Associates Ptrs

N

Cumberland Internal Medicine

N

Wasser & Edelstein PA

N

Family Practice Associates Of Cumberland Co Pc

N

Cumberland Nephrology Associates

N

Gubman Eye Associates

N

Kaplan & Tyson, Llc Dba Eye Associates

N

South jersey Radiation Oncology, P.C.

N

Lyons And Chvala Nephrology Assoc.

N

Elite Eyecare Associates PC

N

Town Vision Associates LLC

N

Premier Eye Associates LLC

N

Medical Alliance of Southern New Jersey, PC

N

PEDERSEN FAMILY MEDICINE, LLC

N

DePersia, Chernoff & Ocasio, PC.

N

Cumberland Family Medicine, LLC

N

Ct Holdings Medical Group Llc

N

SOUTH JERSEY FOOT AND ANKLE SPECIALISTS LLC

N

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

DiAngelo

John

Member

1

ACO Participant Representative

Inspira Medical Centers, Inc.

Warner

Matthew

Member

1

ACO Participant Representative

Inspira Medical Centers, Inc.

Kohli

Alka

Member

1

ACO Participant Representative

Underwood-Memorial Hospital

Trotz

Chris

Member

1

ACO Participant Representative

CT Holdings Medical Group LLC

Conti

Joseph

Member

1

ACO Participant Representative

Inspira Health Network Medical Group, P.C.

YangNovellino

Sue

Member

1

ACO Participant Representative

Inspira Health Network Medical Group, P.C.

Ocasio

Robert

Member

1

ACO Participant Representative

Depersia Chernoff & Ocasio PC

Love

Sally

Member

1

ACO Medicare Beneficiary Representative

Not Applicable

Bhendwal

Sanjay

Member

1

Community Representative

Not Applicable

Key ACO clinical and administrative leadership:

April Venable

ACO Executive

Gregory Herman

Medical Director

Joseph Piccolo

Compliance Officer

Paul Lambrecht

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Clinical Consensus Committee

Dr. Chris Trotz, Chair

Finance Committee

Thomas Baldosaro, Chair

Compliance Committee

Joseph Piccolo, Chair

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

  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2018, $0
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • Second 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
  • First Agreement Period
    • 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 2016
      • 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 2015
      • 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

87.75

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

95.96

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

92.71

92.45

ACO-4

CAHPS: Access to Specialists

82.50

81.50

ACO-5

CAHPS: Health Promotion and Education

54.41

59.26

ACO-6

CAHPS: Shared Decision Making

61.00

61.94

ACO-7

CAHPS: Health Status/Functional Status

74.39

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

28.98

26.26

ACO-8

Risk Standardized, All Condition Readmission

15.34

14.98

ACO-35

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

17.46

18.59

 ACO-36  All-Cause Unplanned Admission for Patients with Diabetes 42.82 37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

79.45

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

61.06

59.00

ACO-43

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

2.07

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

98.33

85.91

ACO-13

Falls: Screening for Future Fall Risk

88.20

79.73

ACO-44

Imaging Studies for Low Back Pain

73.33

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

78.65

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

78.85

75.97

ACO-16

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

77.43

76.83

ACO-17

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

68.25

72.81

ACO-18

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

79.53

66.74

ACO-19

Colorectal Cancer Screening

64.38

68.27

ACO-20

Breast Cancer Screening

71.05

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.04

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

14.26

15.51

ACO-41

Diabetes: Eye Exam

45.84

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

74.69

73.10

ACO-30

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

90.20

88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

Note: In the Quality Performance Results file(s) above, search for “Inspira Care Connect, LLC” or “Inspira Care Connect, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A93114 in the public use files on data.cms.gov.

Payment Rule Waivers

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



Inspira Health Compliance Hotline: (888) 413-4316