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, asydnor@beebehealthcare.org.

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

Joint Venture Arrangements

Reporting Requirements

No

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

 

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

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

Associated Committees and Committee Leadership:
Physician Quality Improvement Committee
Dr. Lisa Bartels, Chair, Beebe Physician Network, Inc.

Finance and Compensation Committee
vacant

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

  • ACO professionals in a group practice arrangement

 

Shared Savings and Losses:

Amount of Shared Savings/Losses:
Performance Year 1:  (not in operations)
Agreement period beginning 2014.  Performance Year 2014:  $0.00
Agreement period beginning 2015.  Performance Year 2015:  $0.00

Shared Savings Distribution:
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:

2015 Quality Performance Results

    2015 Reporting Period

Measure Number

Performance Measure ACO Performance Rate

Mean Performance Rate

(SSP – ACOs)

ACO -1 CAHPS: Getting Timely Care, Appointments, and Information

76.82

80.61

ACO -2 CAHPS: How Well Your Providers Communicate

92.66

92.65

ACO -3 CAHPS: Patients’ Rating of Doctor

92.13

91.94

ACO -4 CAHPS: Access to Specialists

81.71

83.61

ACO -5 CAHPS: Health Promotion and Education

62.72

59.06

ACO -6 CAHPS: Shared Decision Making

74.08

75.17

ACO -7 CAHPS: Health Status/Functional Status

74.21

72.30

ACO-34 Stewardship of Patient Resources*

21.64

26.87

ACO -8 Risk Standardized, All Condition Readmissions

13.92

14.86

ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)* Readmission

15.93

18.07

ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes*

40.60

54.60

ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure*

53.78

76.96

ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

43.90

62.92

ACO -9 Ambulatory Sensitive Condition Admissions:   Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

0.75

1.11

ACO -10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)

1.31

1.04

ACO -11 Percent of Primary Care Providers Who Successfully Meet Meaningful Use Requirements

66.67%

80.14%

ACO -39 Documentation of Current Medications in the Medical Record*

Did not report.

84.07%

ACO -13 Falls: Screening for Fall Risk

Did not report.

56.46%

ACO -14 Preventive Care and Screening: Influenza Immunization

Did not report.

62.03%

ACO -15 Pneumonia Vaccination Status for Older Adults

56.63%

63.73%

ACO -16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

Did not report.

71.15%

ACO -17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

77.36%

90.16%

ACO -18 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

0.00%

45.25%

ACO -19 Colorectal Cancer Screening

52.79%

60.06%

ACO -20 Breast Cancer Screening

Did not report.

65.67%

ACO -21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

Did not report.

70.04%

ACO-40 Depression Remission at Twelve Months*

N/A

N/A

ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control

Did not report.

20.38%

ACO-41 Diabetes Eye Exam*

Did not report.

41.05%

ACO-28 Hypertension: Controlling High Blood Pressure

Did not report.

69.62%

ACO-30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic

88.89%

83.82%

ACO -31 Heart Failure Beta=Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Did not report.

87.22%

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%)

100.00%

77.73%

CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

* = Measure required beginning Reporting Year 2015.

N/A = Reporting on the depression remission measure is not required for 2015, as indicated by N/A.

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  Not in operations   Not in operations   Not in operations   Not in operations 81.65 80.56
ACO #2 How Well Your Doctors Communicate   Not in operations   Not in operations   Not in operations   Not in operations 93.70 92.67
ACO #3 Patients’ Rating of Doctor   Not in operations   Not in operations   Not in operations   Not in operations 93.09 91.89
ACO #4 Access to Specialists   Not in operations   Not in operations   Not in operations   Not in operations 79.21 84.08
ACO #5 Health Promotion and Education   Not in operations   Not in operations   Not in operations   Not in operations 60.19 58.21
ACO #6 Shared Decision Making   Not in operations   Not in operations   Not in operations   Not in operations 75.67 74.65
ACO #7 Health Status/Functional Status   Not in operations   Not in operations   Not in operations   Not in operations 75.10 71.31
ACO #8 Risk Standardized, All Condition Readmissions   Not in operations   Not in operations   Not in operations   Not in operations 14.74 15.11
ACO #9 ASC Admissions: COPD or Asthma in Older Adults   Not in operations   Not in operations   Not in operations   Not in operations 0.57 1.03
ACO #10 ASC Admission: HF   Not in operations   Not in operations   Not in operations   Not in operations 1.57 1.18
ACO #11 Percent of Primary Care Providers Who Successfully Attested for the EHR Incentive Program Incentive Payment   Not in operations   Not in operations   Not in operations   Not in operations 92.86 80.46
ACO #12 Medication Reconciliation   Not in operations   Not in operations   Not in operations   Not in operations 91.04 91.62
ACO #13 Falls: Screening for Fall Risk   Not in operations   Not in operations   Not in operations   Not in operations 38.07 44.63
ACO #14 Influenza Immunization   Not in operations   Not in operations   Not in operations   Not in operations 67.12 58.16
ACO #15 Pneumococcal Vaccination   Not in operations   Not in operations   Not in operations   Not in operations 62.85 56.79
ACO #16 Adult Weight Screening and Follow-up   Not in operations   Not in operations   Not in operations   Not in operations 22.65 67.86
ACO #17 Tobacco Use Assessment and Cessation Intervention   Not in operations   Not in operations   Not in operations   Not in operations 93.39 91.24
ACO #18 Depression Screening   Not in operations   Not in operations   Not in operations   Not in operations 19.58 36.66
ACO #19 Colorectal Cancer Screening   Not in operations   Not in operations   Not in operations   Not in operations 53.94 57.72
ACO #20 Mammography Screening   Not in operations   Not in operations   Not in operations  Not in operations 72.78 62.98
ACO #21 Proportion of Adults who had blood pressure screened in past 2 years   Not in operations   Not in operations   Not in operations  Not in operations 44.98 58.97
ACO #22 Hemoglobin A1c Control (HbA1c) (<8 percent)   Not in operations  Not in operations  Not in operations  Not in operations 79.02 N/A
ACO #23 Low Density Lipoprotein (LDL) (< 100 mg/dL)  Not in operations  Not in operations  Not in operations  Not in operations N/A N/A
ACO #24 Blood Pressure (BP) < 140/90   Not in operations  Not in operations  Not in operations  Not in operations 76.17 N/A
ACO #25 Tobacco Non-Use  Not in operations  Not in operations  Not in operations  Not in operations 87.98 N/A
ACO #26 Aspirin Use   Not in operations  Not in operations  Not in operations  Not in operations 69.78 N/A
ACO #27 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)   Not in operations   Not in operations   Not in operations   Not in operations 9.37 17.83
ACO #28 Percent of beneficiaries with hypertension whose BP < 140/90   Not in operations   Not in operations   Not in operations   Not in operations 75.85 69.39
ACO #29 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl   Not in operations   Not in operations   Not in operations   Not in operations N/A N/A
ACO #30 Percent of beneficiaries who use Aspirin or other antithrombotic   Not in operations   Not in operations   Not in operations   Not in operations 78.30 85.49
ACO #31 Beta-Blocker Therapy for LVSD   Not in operations   Not in operations   Not in operations   Not in operations 71.64 87.72
ACO #32 Drug Therapy for Lowering LDL-Cholesterol   Not in operations  Not in operations  Not in operations  Not in operations N/A N/A
ACO #33 (ACE) Inhibitor or (ARB) Therapy for Patients with CAD and Diabetes and/or (LVSD)   Not in operations  Not in operations  Not in operations  Not in operations 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