About Us

ACO Name & Location

Augusta Care Partners, LLC
Previous Names: N/A
78 Medical Center Drive
Fishersville, VA 22939

ACO Primary Contact

Primary Contact NameMary T. Arrowood
Primary Contact Phone Number(540) 245-7570
Primary Contact Email Addressmarrowood2@augustahealth.com

Organizational Information

ACO Participants

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
EDWARD EISENBERGN
Shenandoah Emergency Medicine Specialists LLCN
Medical Center Women”s Health, IncN
Gerald ShowalterN
BLUE RIDGE FOOTCARE AND SURGERY PLCN
Augusta Medical GroupN
BLUE RIDGE UROLOGICAL, PCN
COMPREHENSIVE HEALTH SYSTEMS, PLCN
SAVOLA AESTHETIC DERMATOLOGY CENTER, PLCN
Anesthesia Assosicates Of Augusta, P.L.C.N
VALLEY COMMUNITY SERVICES BOARDN
Orthopedic Associates, Ltd (D/B/A Shenandoah Valley Orthopedics and Sports Medicine)N
BLUE RIDGE PATHOLOGISTS PCN
Augusta Health Care, Inc.N
Eyeone, PlcN
AUGUSTA SURGERY INCN
SHENANDOAH VALLEY RADIATION ONCOLOGY ASSOCIATES, PCN
AUGUSTA HEALTH CARE FOR WOMEN, PLCN
GERALD SHOWALTER, PSY.D., PCN
Staunton Eye Clinic PLCN
MAURY RIVER FAMILY PRACTICE LLCN
Augusta Orthopedic Surgery, PLCN

ACO Governing Body

Board of Managers

Member

Member’s Voting Power -Expressed as a percentage or numberMembership TypeACO Participant Legal Business Name/DBA, if Applicable
Last NameFirst NameTitle/Position
OtteniJackVoting Member and Chair1ACO Participant RepresentativeOrthopedic Associates, Ltd (D/B/A Shenandoah Valley Orthopedics and Sports Medicine)
SnyderJohnVoting Member and Vice-Chair1ACO Participant RepresentativeAugusta Medical Group
BarocoPatrickVoting Member and Secretary/Treasurer1ACO Participant RepresentativeAugusta Medical Group
FosnochtDavidVoting Member1ACO Participant RepresentativeShenandoah Emergency Medicine Specialists, LLC
JustScottVoting Member1ACO Participant RepresentativeAugusta Medical Group
MannixMaryVoting Member1ACO Participant RepresentativeAugusta Health Care, Inc
MaybeeNellyVoting Member1ACO Participant RepresentativeAugusta Medical Group
FentonBarbaraVoting Member1Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership

Daniel O’ConnorACO Executive
Clint Merritt, MDMedical Director
D. Scott JonesCompliance Officer
Clint Merritt, MDQuality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee NameCommittee Leader Name and Position
Communication & EducationAdam Rochman, MD, Chair
Finance & Network DevelopmentWilliam Thompson, MD, Chair
Quality & Care ProcessStephanie Pitsilos, MD, Chair

Types of ACO Participants or Combinations of Participants that Formed the ACO

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • 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

  • Second 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
  • 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

2018 Quality Performance Results

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information83.1386.14
ACO-2CAHPS: How Well Your Providers Communicate92.9993.93
ACO-3CAHPS: Patients’ Rating of Provider90.7992.45
ACO-4CAHPS: Access to Specialists80.0981.50
ACO-5CAHPS: Health Promotion and Education65.9159.26
ACO-6CAHPS: Shared Decision Making59.1061.94
ACO-7CAHPS: Health Status/Functional Status73.3773.35
ACO-34CAHPS: Stewardship of Patient Resources23.8626.26
ACO-8Risk Standardized, All Condition Readmission14.7214.98
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.0718.59
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes35.6937.01
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure67.0776.75
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions54.6259.00
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)1.921.98
ACO-11Use of Certified EHR Technology99.0398.20
ACO-12Medication Reconciliation Post-Discharge70.0085.91
ACO-13Falls: Screening for Future Fall Risk99.3779.73
ACO-44Use of Imaging Studies for Low Back Pain76.0064.36
ACO-14Preventive Care and Screening: Influenza Immunization81.7572.71
ACO-15Pneumonia Vaccination Status for Older Adults90.1775.97
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up90.9976.83
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention65.7172.81
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan86.3666.74
ACO-19Colorectal Cancer Screening80.3668.27
ACO-20Breast Cancer Screening85.0571.96
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease87.7281.47
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control11.9915.51
ACO-41Diabetes: Eye Exam80.4852.42
ACO-28Hypertension (HTN): Controlling High Blood Pressure70.0273.10
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet98.0388.92

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

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.