ACO Public Reporting

Osler Health ACO, LLC
Previous Names: N/A
288 Boulevard
Hasbrouck Heights, NJ 07604

 

ACO Primary Contact

Primary Contact Name Tess Kuczynski
Primary Contact Phone Number 201-426-6526 Ext:702
Primary Contact Email Address Tkuczyski@oslernetwork.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Paul Morris Y
Clifton Wallington Medical Group Y
Amit Tailor Y
Denise Daub MD Y
Premier Family Medical, Pc Y
Nikunj Mehta Mdpa Y
Columbus Family Physicians Llc Y
Tailor Associates Llc Y
Heights Medical Associates PA Y
Dr Richard D Santucci Dc Pa Y
Forest Hill Family Health Associates PA Y
James Aversa OD PA Y
Riverview Healthcare Associates Y
Shirish V Bhatt MD PC Y
Jerry Jurado MD Y

 

 

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
Bellavia Thomas Chairman 20% ACO Participant Representative Heights Medical Associates, P.A.
Ortiz Thomas Director 20% ACO Participant Representative Forest Hill Family Health Associates PA
Bhatt Shirish Director 20% ACO Participant Representative Shirish V Bhatt MD PC
Mehta Nikunj Directory 20% ACO Participant Representative Nikunj P. Mehta, MD PA
Brana Vincent Director 20% Medicare Beneficiary Representative N/A

 

Key ACO clinical and administrative leadership:

Theresa Kuczynski ACO Executive
Nicholas Bonvicino Medical Director
Tara Smith Compliance Officer
Alison Chavez Quality Assurance/Improvement Officer

 

 

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Primary Care Operating and Innovations Amit Tailor, M.D.
Population and Utilization Management Nicholas Bonvicino, MD
Shared Savings Distribution Thomas Bellavia, MD Chairman
Care Coordination Tess Kuczynski, COO

 

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

  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $0

 

Shared Savings Distribution

  • First 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
    • 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

 

Quality Performance Results

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 89.28 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.84 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 91.94 92.45
ACO-4 CAHPS: Access to Specialists 83.63 81.50
ACO-5 CAHPS: Health Promotion and Education 60.78 59.26
ACO-6 CAHPS: Shared Decision Making 63.89 61.94
ACO-7 CAHPS: Health Status/Functional Status 72.40 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 26.23 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.89 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.76 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 37.77 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 75.32 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 55.55 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.60 1.98
ACO-11 Use of Certified EHR Technology 91.30 98.20
ACO-12 Medication Reconciliation Post-Discharge 63.27 85.91
ACO-13 Falls: Screening for Future Fall Risk 77.29 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 100.00 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 66.36 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 58.47 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 77.52 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.47 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 64.64 66.74
ACO-19 Colorectal Cancer Screening 57.91 68.27
ACO-20 Breast Cancer Screening 59.90 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.10 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.17 15.51
ACO-41 Diabetes: Eye Exam 28.25 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.00 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 85.57 88.92

 

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

 

Note: In the Quality Performance Results file(s) above, search for “Osler Health ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3321 in the public use files on data.cms.gov.

Payment Rule Waivers

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