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Signature Partners in Health, LLC MSSP

Signature Partners Medicare Shared Savings Program Accountable Care Organization (ACO) is a partnership between physicians, hospitals and other professionals.

ACO Name and Location

Signature Partners in Health, LLC
3190 Fairview Park Drive, Suite 900
Falls Church, Virginia 22042

ACO Primary Contact

Primary Contact Name Anne Rieger
Primary Contact Phone Number 703.914.2912
Primary Contact Email Address Anne.Rieger@inova.org

Organizational Information

Signature Partners in Health, LLC MSSP ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Serenite Medical & Spa Inc N
Cardiac and Vascular Care of Virginia, P.C. N
Nova Medical And Urgent Care Center, Inc N
Northern Virginia Surgery Center, LLC N
Inova Loudoun Ambulatory Surgery N
Hampshire Memorial Hospital Inc N
David Miller N
Capital Heartcare Center, P.C. N
Valley Physician Enterprise Inc N
Siavash Sobhani M.D. P.C. N
Inova Reston MRI Center, LLC N
Inova Physician Partners, Inc. N
Internal Medicine of Manassas, P.C. N
Inova Health Care Services-Pathology N
Inova Physician Partners, Inc.-Specialists N
Springfield Family Medicine LTD N
Internal Medicine of West Virginia N
Optimum Care LLC N
Shuaib Medical Center N
Dev R. Chhabra MD PLLC N
RETINA GROUP OF WASHINGTON PC N
Warren Memorial Hospital, Inc. N
Shenandoah Memorial Hospital, Inc. N
Winchester Medical Center Inc N
Loudoun Hospital Center N
Page Memorial Hospital, Inc N
Inova Health Care Services N
Anderson Clinic Inc. N
Mount Vernon Internal Medicine N
Northern Virginia Pulmonary & Critical Care Assoc PC N
Woodstock Internal Medicine Specialists PC N
James Dale N
Inova Vna Home Health N
General Internal Medicine Group N
Loudoun Nursing And Rehabiliation Center N
Heritage Family Practice Associates, P.C. N
Mount Vernon Rehabilitation Medicine Associates N
Elite OB/GYN N
Potomac Inova HealthCare Alliance, LLC N
Neighborhood Health N
Capital Hospice N
Franconia-Springfield Surgery Center, LLC N
Shenandoah Valley Medical System, Inc N
War Memorial Hospital, Inc N

 

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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
Feit Jeff MD 1 ACO Participant Valley Physician Enterprise Inc
Switzer David MD 1 ACO Participant Valley Physician Enterprise Inc
Do Thien MD 1 ACO Participant Capital Heartcare Center, P.C. DBA American Executive Health System
Goyal Anjali MD 1 ACO Participant General Internal Medicine Group
Ginsberg Paul PhD 1 Medicare Beneficiary N/A
Orloff Greg MD 1 Other, Commericial Participant Virginia Cancer Specialists, PC
Ahmed Bob MD 1 Other, Commericial Participant Virginia Surgery Associates
Khan Basim MD 1 ACO Participant Neighborhood Health
Rubin Art MD 1 ACO Participant General Internal Medicine Group
Verderese John Paul MD 1 ACO Participant Inova Health Care Services
Stauder Mark Inova President 1 ACO Participant Inova Health Care Services
Nguyen Tricia MD 1 ACO Participant Inova Health Care Services
Gafouri Merdod MD 1 ACO Participant Inova Health Care Services
Oluwehinmi Fola MD 1 ACO Participant General Internal Medicine Group
Betzelos Scott MD 1 ACO Participant Inova Health Care Services
Hererra Albert MD 1 ACO Participant Mount Vernon Internal Medicine

Key ACO Clinical and Administrative Leadership:

Matt Poffenroth ACO Executive
Matt Poffenroth Medical Director
Melissa Wright Compliance Officer
Darlene Almanza Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Quality and Clinical Integeration Committee Neeta Goel, MD
Network Management Committee Merdod Gafouri, MD
Credentialing and Compliance Committee Matt Poffenroth, MD
Payor Contracting Committee Tricia Nguyen, MD

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  •  Hospital employing ACO professionals
  •  Critical Access Hospital (CAH) billing under Method II
  •  Federally Qualified Health Center (FQHC)
  •  Rural Health Clinic (RHC)

Shared Savings and Losses:

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • 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

Quality Performance Reporting

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 79.36 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 92.31 92.63
ACO-3 CAHPS: Patients’ Rating of Provider 91.6 91.93
ACO-4 CAHPS: Access to Specialists 83.79 83.52
ACO-5 CAHPS: Health Promotion and Education 58.07 60
ACO-6 CAHPS: Shared Decision Making 73.39 75.28
ACO-7 CAHPS: Health Status/Functional Status 73.41 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 19.95 27.52
ACO-8 Risk-Standardized, All Condition Readmission 15.49 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 18.86 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 62.72 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 91.69 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 71.65 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 12.6 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 20.44 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 96.99 82.72
ACO-39 Documentation of Current Medications in the Medical Record 93.94 87.54
ACO-13 Falls: Screening for Future Fall Risk 69.13 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 67.24 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 71.14 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 85.28 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.77 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 46.18 53.63
ACO-19 Colorectal Cancer Screening 53.4 61.52
ACO-20 Breast Cancer Screening 59.46 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 82.32 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.96 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 12.59 18.24
ACO-41 Diabetes: Eye Exam 25.9 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 62.36 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 86.8 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 97.28 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 81.92 79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

 

Note: In the Quality Performance Results file(s) above, search for “Signature Partners in Health, LLC” or “Signature Partners” to view the quality performance results. This ACO can also be found by using the ACO ID A72677 in the public use files on data.cms.gov.

 

Payment Rule Waivers

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

 

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Code of Conduct & Compliance Plan

The Signature Partners Compliance Plan outlines the components of Signature Partners’ Accountable Care Organization (ACO) Compliance Program. Integrity and honesty is the core values under which Signature Partner operates. If you have any questions or concerns, please feel free to contact our Compliance Officer, Melissa J. Wright, by telephone at 703-286-3970 or email at melissa.wright@inova.org. You may also report compliance concerns anonymously by calling the Inova Health System Compliance Hotline at 1 (888) 800-4030.

MSSP Compliance Plan 11_4 (pdf)

Medical Fraud, Waste and Abuse Hotline

Signature Partners shares your concerns about fraud, waste and abuse of healthcare resources. If you suspect fraud, waste or abuse, please call our hotline at 1 (888) 800-4030 to report your concerns.

Facts

Accountable Care Organizations FAQs

Resolutions of Signature Partners in Health, LLC

MSSP ACO Governing Board Meeting December 11, 2014

Signature Partners