Public Reporting

As part of our commitment to transparency, we regularly report on our quality performance results, cost-sharing data, and organizational makeup. 

ACO Name and Location

Adirondacks ACO, LLC Previous Names: N/A

75 Beekman Street

Plattsburgh, NY 12901

 

ACO Primary Contact

Karen L. Ashline

(518)314-3663

kashline@cvph.org

 

Organizational Information ACO participants:

 

ACO ParticipantsACO Participant in Joint Venture
North Wind Primary Care PLLCN
Kristin Ambler, MDN
Russell RiderN
Glens Falls Hospital, Inc.N
Champlain Valley PhysiciansN
Elizabethtown Community HospitalN
Hudson Headwaters Health NetworkN
Adirondack Medical CenterN
Citizen AdvocatesN
Irongate Family Practice Associates, PLLCN
Alice Hyde Medical CenterN
Behavioral Health Services NorthN
Plattsburgh Medical Care, PLLCN
Adirondack Medical Practice, LLCN
Lake City Primary Care, PLLCN

 

ACO Governing Body:

 

 

 

Member Last Name

 

 

Member First Name

 

 

Member Title/Position

Member’s Voting Power: expressed as a percentage

or number

 

 

Membership Type

 

 

ACO Participant Legal Business Name/DBA, if applicable

GallagherKevinMD1ACO Participant RepresentativeHudson Headwaters Health Network
TournierChrisCFO1ACO Participant RepresentativeHudson Headwaters Health Network
HickeyChrisCFO1    ACO Participant       RepresentativeUniversity of Vermont Health Network CVPH
BeguinDavidMD1Pediatric RepresentativePrimary Care Health Partner

 

AmblerKristinMD1ACO Participant RepresentativeKristin Ambler. MD
HatchAnn MarieSr. Director1ACO Participant RepresentativeGlens Falls Hospital, Inc.
LetourneauCraigController1ACO Participant RepresentativeGlens Falls Hospital, Inc.
LabaRobertCFO1ACO Participant RepresentativeAdirondack Medical Center
BeirasDarciMD1ACO Participant RepresentativeAdirondack Medical Center
FilionPaulMD1ACO Participant RepresentativeIrongate Family Practice Associates, PLLC
WilkePaulRetiree1Medicare Beneficiary RepresentativeNA
Bulris-AllenAmandaExecutive Director NAMI1Medicaid Beneficiary RepresentativeNA
BarkerTess

CEO

PPNNY

1Represents UninsuredNA
RietsemaWouterMD1

ACO Participant Representative

AHI Member

University of Vermont Health Network CVPH

 

Key ACO clinical and administrative leadership:

ACO Executive: Eric Burton

Medical Director: Wouter Rietsema Compliance Officer: Justin Frazer

Quality Assurance/Improvement Officer: Wouter Rietsema

 

Associated committees and committee leadership:

 

Committee NameCommittee Leader Name and Position
Population Health AdvisoryWouter Rietsema, MD Chair
FinanceRobert Laba, Chair

 

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

  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2021, $3,382,438
    • Performance Year 2020, $3,062,968
  • Second Agreement Period
    • Performance Year 2019, $
    • Performance Year 2018, $0
    • Performance Year 2017, $0
    • First Agreement Period
      • Performance Year 2016, $0
      • Performance Year 2015, $0
      • Performance Year 2014, $0

    Shared Savings Distribution:

    Third Agreement Period

    • Performance Year 2021
    • Proportion invested in infrastructure: N/A
    • Proportion invested in infrastructure: 1%
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: 99%
      • Performance Year 2020
      • Proportion invested in infrastructure: 2%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 98%

       

      Second 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
      • 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

       

      First Agreement Period

      • 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
        • Performance Year 2014
        • 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

          2021 Quality Performance Results:

          CMS Web Interface Measure Set
          Measure #Measure NameRateACO Mean
          1Diabetes: Hemoglobin A1c (HbA1c) Poor Control (2)12.2312.46
          134Preventative Care and Screening: Screening for Depression and Follow-up Plan79.3474.38
          236Controlling High Blood Pressure73.1974.87
          318Falls: Screening for Future Fall Risk 77.4687.03
          110Preventative Care and Screening: Influenza Immunization72.4180.52
          226Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention6880.97
          113Colorectal Cancer Screening78.1573.63
          112Breast Cancer Screening78.775.11
          438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease84.5184.24
          370Depression Remission at Twelve Months4.4915.5
          479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups (2)0.14910.154
          MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) (2)34.2633.99
          [1] For PY 2021, measures #134, #438, and #370 do not have CMS Web Interface benchmarks and are not scored as a result.
          [2] A lower performance rate corresponds to higher quality.

           

          CAHPS for MIPS Performance
          Measure IDMeasure NameRateACO Mean
          CAHPS-1Getting Timely Care, Appointments, and Information83.4384.67
          CAHPS-2How Well Providers Communicate95.9893.56
          CAHPS-3Patient’s Rating of Provider93.1692.19
          CAHPS-4Access to Specialists75.2178.8
          CAHPS-5Health Promotion and Education67.7861.61
          CAHPS-6Shared Decision Making64.1160.89
          CAHPS-7Health Status and Functional Status73.7971.78
          CAHPS-8Care Coordination86.6385.66
          CAHPS-9Courteous and Helpful Office Staff94.991.88
          CAHPS-11Stewardship of Patient Resources20.4324.71

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

          In addition, we provide an easy way to report possible misconduct. Our goal is to ensure high-quality, evidence-based, respectful care for our patients, and if you believe you’ve received less than that, we want to hear from you. 

          If you have questions about any of this information, please feel free to contact us.

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