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 NameMember First NameMember Title/PositionMember’s Voting Power: expressed as a percentage or numberMembership TypeACO Participant Legal Business Name/DBA, if applicable
GallagherKevinMD1ACO Participant RepresentativeHudson Headwaters Health Network
TournierChrisCFO1ACO Participant RepresentativeHudson Headwaters Health Network
ScaliseDianaSVP1ACO Participant RepresentativeUniversity of Vermont Health Network CVPH
HickeyChrisCFO1ACO 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
MannixMartinRetiree1Medicare Beneficiary RepresentativeNA
Bulris-AllenAmandaExecutive Director NAMI1Medicare Beneficiary RepresentativeNA
BarkerTessCEO PPNNY1Represents UninsuredNA
RietsemaWouterMD1ACO Participant Representative AHI MemberUniversity 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
FinanceChris Tournier, 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 2020, $3,062,968
    • Second Agreement Period
      • Performance Year 2019, $0
      • 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 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

    2020 Quality Performance Results:

    ACO #Measure NameRateACO Mean
    ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions53.6849.50
    ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))0.920.95
    ACO-13Falls: Screening for Future Fall Risk77.1584.97
    ACO-14Preventive Care and Screening: Influenza Immunization77.5676.03
    ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention82.4381.67
    ACO-18Preventive Care and Screening: Screening for Depression and Follow-up Plan74.6471.46
    ACO-19Colorectal Cancer Screening76.2772.59
    ACO-20Breast Cancer Screening77.8474.05
    ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease86.0283.37
    ACO-27Diabetes: Hemoglobin A1c Poor Control (>9%)13.2914.70
    ACO-28Controlling High Blood Pressure70.8672.87

    Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

     

    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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