ACO Report

ACO Name & Location
MUSC Health Alliance, LLC
Previous Names: N/A
96 Jonathan Lucas Street
Suite 601-J, CSB MSC 617
Charleston, South Carolina 29425

ACO Primary Contact
David S. Louder, M.D., MBA, FAAP
843-792-8779
louder@musc.edu

Organizational Information

ACO Participants

ACO Participant in Joint Venture (Y or N)

University Medical Associates

N

Carolina Family Care Inc

N

Medical University Hospital Authority

N

MUSC Health Partners

N

 

 ACO Governing Body 

Last Name

First Name

Title/Position

Member's Voting Power – Expressed as a percentage of number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Battle

James

Board Member

1

ACO Participant Representative

Medical University Hospital Authority

Cawley

Patrick

Chair

1

ACO Participant Representative

University Medical Associates

Fisher

Janie

Board Member

1

Medicare Beneficiary Representative

N/A

Lemon

James

Board Member

1

ACO Participant Representative

Medical University Hospital Authority

Louder

David

Executive Director/Medical Director

0

ACO Participant Representative

University Medical Associates

Greenwood

Eva

Treasurer

1

ACO Participant Representative

University Medical Associates

Steyer

Terry

Board Member

1

ACO Participant Representative

University Medical Associates

Vacant

Board Member

1

ACO Participant Representative

Medical University Hospital Authority

Hong Eugene

Vice-Chair/Secretary

1

ACO Participant Representative

University Medical Associates

Key ACO Clinical & Administrative Leadership

  • David Louder - ACO Executive
  • David Louder - Medical Director
  • Kellie Mendoza - Compliance Officer
  • Danielle Scheurer - Quality Assurance/Improvement Officer

Associated Committees & Committee Leadership

  • Clinical Transformation and Quality - David Louder, M.D. & Danielle Scheurer, M.D., Co-Chairs
  • Finance and Contracting - Eva Greenwood  & Karyn Rae, Co-Chairs
  • Affiliations and Compliance - Matt Severance & Julie Acker, Co-Chairs
  • IT and Analytics - Matt Turner & Patterson Burch, Co-Chairs

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
    • Performance Year 2018, ($269,779)
    • Performance Year 2017, ($291,310)

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

85.36

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

95.02

93.93

ACO-3

CAHPS: Patients' Rating of Provider

92.24

92.45

ACO-4

CAHPS: Access to Specialists

77.55

81.50

ACO-5

CAHPS: Health Promotion and Education

54.82

59.26

ACO-6

CAHPS: Shared Decision Making

58.05

61.94

ACO-7

CAHPS: Health Status/Functional Status

74.24

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

22.11

26.26

ACO-8

Risk-Standardized, All Condition Readmission

15.08

14.98

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

19.48

18.59

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

81.89

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

62.61

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.46

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

63.95

85.91

ACO-13

Falls: Screening for Future Fall Risk

96.24

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

64.52

 

64.36

 

ACO-14

Preventive Care and Screening: Influenza Immunization

98.52

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

87.91

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

81.69

76.83

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

34.09

 

72.81

 

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

88.41

66.74

ACO-19

Colorectal Cancer Screening

43.44

68.27

ACO-20

Breast Cancer Screening

68.95

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87.18

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

18.10

15.51

ACO-41

Diabetes: Eye Exam

64.97

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

65.80

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

94.29

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 “MUSC Health Alliance, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3442 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.