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Carroll ACO (an Accountable Care Organization)

ACO Name and Location

Carroll ACO, LLC
Previous Names: N/A
200 Memorial Avenue
Westminster, Maryland 21157

ACO Primary Contact 

Primary Contact Name             Joshua Parks 
Primary Contact Phone Number  410-871-7597 
Primary Contact Email Address  jparks@lifebridgehealth.org 


Organizational Information
  

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Westminster Internal Medicine Association  N
Family Podiatry of Maryland, LLC   N
Dixie Colgan  N
Inwha Cho, M.D.   N
Carroll Health Group, LLC  N
Carroll Regional Cancer Center Physicians, LLC  N
Mid Atlantic Pulmonary, Critical Care and Sleep, PC  N
LifeBridge Multi-Specialty, LLC  N
Smart Pain Management, LLC  N
Carroll Hospital Center, Inc.  N
Carroll Primary Care  N
Weintraub and Kessler LLC   N
Carroll Arthritis, PA   N
Airpark Primary Care, LLC    N
Manchester Family Medicine, LLC  N
Carroll Digestive Associates, P.A.  N
Mokhtar Nasir, M.D. PA   N
Carroll County Anesthesia Associates, PA  N
Young J. Cho, M.D., P.A.   N
John C. Baer, M.D. LLC   N
Dr. Wilbur Kuo & Associates Internal Medicine LLC  N
Manchester Medical Center, LLC  N
MDICS at Carroll Hospital Center, LLC  N

ACO Governing Body

 Member Member's Voting Power Membership Type ACO Participant TIN
Legal Business Name/
DBA, if applicable
 Last Name First Name Title/Position
Galvin, M.D. Todd ACO Participant  1 Chair & Voting Member Carroll Health Group, LLC
Callahan Laura Compliance Officer  0 Non-Voting Member  
Fisher Charles Community Member  1 Medicare Beneficiary   
Freiji, M.D. Khalil ACO Participant  1 Voting Member Westminster Internal Medicine Association
Johnston, M.D. Kimberly  ACO Participant  1 Medical Director & Voting Member LifeBridge Multi-Specialty, LLC
Kuna, M.D. Kiran ACO Participant  1 Voting Member Carroll County Anesthesia Associates, PA
Loeffler, M.D. Sara ACO Participant  1 Voting Member Carroll Health Group, LLC
McClernan Sharon Hospital Administrator  0 Secretary & Non-Voting Member  
Myers Michael Hospital Administrator   0 Treasurer & Non-Voting Member  
McEvoy, M.D. Michael ACO Participant  1 Voting Member Carroll Primary Care
Mendoza, M.D. Ernesto ACO Participant  1 Voting Member Carroll Health Group, LLC
Ozgun, M.D. Bertan ACO Participant  1 Voting Member Advanced Radiology, P.A.
Sikorski, M.D. Stephen ACO Participant  1 Voting Member Carroll Primary Care
Simmons Leslie Hospital Administrator   1 Voting Member  

 

Key ACO Clinical and Administrative Leadership

Joshua Parks ACO Executive 
Kim Johnston, M.D. Medical Director 
Laura Callahan Compliance Officer
Kim Johnston, M.D.  Quality Assurance/Improvement Officer


Associated Committees and Committee Leadership

Committee Name   Committee Leader Name and Position
Clinical and Quality Committee  Kimberly Johnston, M.D., Chair 
Compliance Committee Bertan Ozgun, M.D., Chair 
Finance Committee  Michael Myers, Chair 
Information Technology Committee  Michael McEvoy, M.D., Chair 
Membership Committee  Leslie Simmons, Chair 


Types of ACO participants, or combinations of participants, that formed the ACO:
  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings/Losses

Amount of Shared Savings/Losses
  • First Agreement Period
º Performance Year 2017, $0
º Performance Year 2016, $0
º Performance Year 2015, $0


  • Second Agreement Period
º Performance Year 2018, $0


Shared Savings Distribution
  • First Agreement Period
º 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

º 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

º 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
  • Second Agreement Period
º 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

Quality Performance Results

2018 Quality Performance Results:

ACO#  Measure Name  Rate  ACO Mean 
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.96 86.14 
ACO-2 CAHPS: How Well Your Providers Communicate 94.87 93.93
ACO-3 CAHPS: Patients' Rating of Provider 93.16 92.45
ACO-4 CAHPS: Access to Specialists 78.17 81.50
ACO-5  CAHPS: Health Promotion and Education 56.74 59.26
ACO-6 CAHPS: Shared Decision Making 59.79 61.94
ACO-7 CAHPS: Health Status/Functional Status 75.26 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 25.48 26.26
ACO-8 Risk-Standardized, All Condition Readmission  14.97 14.98
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)  20.25 18.59
ACO-36  All-Cause Unplanned Admissions for Patients with Diabetes 35.25 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 66.1 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions   51.92 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.38 1.98
ACO-11 Use of Certified EHR Technology 99.34 98.20
ACO-12 Medication Reconciliation 82.86 85.91
ACO-13 Falls: Screening for Future Fall Risk 77.43 79.73
ACO-44 Imaging Studies for Low Back Pain 75.00  64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 70.4  72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 80.17  75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 77.23 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 60.00 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 73.38 66.74 
ACO-19 Colorectal Cancer Screening 66.19  68.27
ACO-20 Breast Cancer Screening 72.33  71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.45 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control  17.74 15.51
ACO-41 Diabetes: Eye Exam  73.58 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure  72.03 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 94.00 88.92

For Previous Years' Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.

 


The Board of Carroll ACO, LLC has determined that it is eligible for the Participation and Pre-Participation Waivers eligible under the Medicare Shared Savings Program. See MSSP Waivers Disclosure of Arrangements here.