Formed in 2013, Delmarva Health Network is a clinically integrated organization formed to better health, better health care, and lower costs for the communities that we serve on the Delmarva Peninsula. Delmarva Health Network is focused on delivering a better patient care experience, while focusing on higher quality and better clinical outcomes—through various programs, including coordinating the transitions patients make from provider to provider. While the organization itself is new, the participants in this Accountable Care Organization (ACO) have been long pillars of the community—community physicians and Beebe Healthcare.

ACO Name and Location:
Delmarva Health Network, LLC, 424 Savannah Road, Lewes, DE 19958

ACO Primary Contact:
Alex Sydnor, Administrator, (302) 645-3878,

You may also call Medicare directly at 1-800-MEDICARE (1-800-633-4227) with any questions you might have about ACOs like the Delmarva Health Network or your Medicare benefits.

Organizational Information:

ACO participants*:

  • Atlantic Family Physicians, LLC
  • Atlantic General Hospital Corp
  • Beebe Medical Center, Inc
  • Beebe Physician Network, Inc.
  • Edwin T Castaneda MD PA
  • Sally H. Dowling, MD, LLC
  • Family Practice Center, PA
  • Griffin Family Practice P. A.
  • La Red Health Center, Inc.
  • Lewes Surgical & Medical Associates P. A.
  • Mid-Atlantic Family Practice

*No participants are involved in a joint venture between ACO professionals and hospitals.

ACO governing body:
Vacant, Board Chairman and President
Dr. Kirkland Beebe, Vice Chair, Beebe Physician Network, Inc. (ACO participant)
Vacant, Secretary
Dr. Jeffrey Hawtof, Treasurer, Beebe Physician Network, Inc. & Beebe Medical Center, Inc (ACO participant)
Dr. Lisa Bartels, Beebe Physician Network, Inc. (ACO participant)
Dr. Sally Dowling, Sally H. Dowling, MD, LLC (ACO participant)
Mr. Jeffrey Fried, FACHE, Beebe Medical Center, Inc (ACO participant)
Mr. Alex Sydnor, Beebe Medical Center, Inc (ACO participant)
Mr. Richard Pack, (Medicare Beneficiary)
Dr. Edwin Castaneda, Edwin T Castaneda MD PA (ACO participant)
Mr. Michael Franklin, FACHE, Atlantic General Hospital Corp (ACO participant)
Dr. Stephen Waters, Atlantic General Hospital Corp (ACO participant)

Key ACO clinical and administrative leadership:
Alex Sydnor, Administrator
Holly Marvel, RN, Health Outcomes Manager
Ngozi Azuogu, RN, Data Activation Specialist
Jackye Emory, Compliance Officer
Jeffrey Hawtof, MD, Medical Director

Associated committees and committee leadership:
Physician Quality Improvement Committee
Dr. Lisa Bartels, Chair, Beebe Physician Network, Inc.

Finance and Compensation Committee

Types of ACO participants, or combinations of participants, that formed the ACO:
Delmarva Health Network is a collaboration between physicians and hospitals.


Shared Savings and Losses:

Amount of Shared Savings/Losses:
Performance Year 1:  (not in operations)
Performance Year 2014:  $0.00

How Shared Savings Are Distributed:
In 2014 Delmarva Health Network (DHN) physicians and caregivers working together were able to lower the total cost of care for our patients while meeting quality goals. The reductions in total cost of care achieved were not sufficient for DHN to receive payment from Medicare so no savings were shared with physicians.

It is the policy of Delmarva Health network to split shared savings that are generated 50%/50% between the hospital(s) and physician participants. Allocation of savings is based on quality performance of the facility or physician and the panel of attributed patients to that facility or physician.

Quality Performance Results

2012 Reporting Period

(Not in Operations)

2013 Reporting Period

(Not in Operations)

2014 Reporting Period
Measure Number Performance Measure ACO Performance Rate Mean Performance Rate for all ACOs ACO Performance Rate Mean Performance Rate for all ACOs ACO Performance Rate

Mean Performance Rate for all ACOs

ACO #1 Getting Timely Care, Appointments, and Information 81.65 80.56
ACO #2 How Well Your Doctors Communicate 93.70 92.67
ACO #3 Patients’ Rating of Doctor 93.09 91.89
ACO #4 Access to Specialists 79.21 84.08
ACO #5 Health Promotion and Education 60.19 58.21
ACO #6 Shared Decision Making 75.67 74.65
ACO #7 Health Status/Functional Status 75.10 71.31
ACO #8 Risk Standardized, All Condition Readmissions 14.74 15.11
ACO #9 ASC Admissions: COPD or Asthma in Older Adults 0.57 1.03
ACO #10 ASC Admission: HF 1.57 1.18
ACO #11 Percent of Primary Care Providers Who Successfully Attested for the EHR Incentive Program Incentive Payment 92.86 80.46
ACO #12 Medication Reconciliation 91.04 91.62
ACO #13 Falls: Screening for Fall Risk 38.07 44.63
ACO #14 Influenza Immunization 67.12 58.16
ACO #15 Pneumococcal Vaccination 62.85 56.79
ACO #16 Adult Weight Screening and Follow-up 22.65 67.86
ACO #17 Tobacco Use Assessment and Cessation Intervention 93.39 91.24
ACO #18 Depression Screening 19.58 36.66
ACO #19 Colorectal Cancer Screening 53.94 57.72
ACO #20 Mammography Screening 72.78 62.98
ACO #21 Proportion of Adults who had blood pressure screened in past 2 years 44.98 58.97
ACO #22 Hemoglobin A1c Control (HbA1c) (<8 percent) N/A N/A 79.02 N/A
ACO #23 Low Density Lipoprotein (LDL) (< 100 mg/dL) N/A N/A N/A N/A
ACO #24 Blood Pressure (BP) < 140/90 N/A N/A 76.17 N/A
ACO #25 Tobacco Non-Use N/A N/A 87.98 N/A
ACO #26 Aspirin Use N/A N/A 69.78 N/A
ACO #27 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) 9.37 17.83
ACO #28 Percent of beneficiaries with hypertension whose BP < 140/90 75.85 69.39
ACO #29 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl N/A N/A
ACO #30 Percent of beneficiaries who use Aspirin or other antithrombotic 78.30 85.49
ACO #31 Beta-Blocker Therapy for LVSD 71.64 87.72
ACO #32 Drug Therapy for Lowering LDL-Cholesterol N/A N/A N/A N/A
ACO #33 (ACE) Inhibitor or (ARB) Therapy for Patients with CAD and Diabetes and/or (LVSD) N/A N/A 78.21 N/A

Note:  ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease, PCP = primary care physician, EHR = electronic health record, IVD = ischemic vascular disease, LVSD = left ventrical systolic dysfunction, ACE = angiotensin-converting enzyme, ARG = angiotensin receptor blocker, CAD = coronary artery disease.

Copyright by Delmarva Health Network, LLC 2014