ACO Name and Location
ACO Name and LocationLoudoun Medical Group ACO LLC
Previous Names: N/A
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
ACO Primary Contact
Mary Beth Tamasy, CEO
(703) 737-6006
mtamasy@lmgdoctors.com
Organizational Information
ACO Participants
Loudoun Medical Group PC
ACO Governing Body:
Key ACO Clinical and Administrative Leadership:
| Mary Beth Tamasy | ACO Executive |
|---|---|
| Anthony Crowley | Medical Director |
| Clara Nussbaum | Compliance Officer |
| Clara Nussbaum | Quality Assurance/Improvement Officer |
Associated Committees and Committee Leadership:
Quality Assurance and Improvement Committee – Anthony Crowley, MD, Chair
Finance Committee – Robert Hetzel, MD, Chair
Communications Committee – Linda Coleman, MD, Chair
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
- Second Agreement Period
- Performance Year 2017, $1,272,644
- First Agreement Period
- Performance Year 2016, $0
- Performance Year 2015, $0
- Performance Year 2014, $0
Shared Savings Distribution
- Second Agreement Period
- Performance Year 2017
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 40%
- 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
2017 Quality Performance Results:
You may need to scroll horizontally to view all of the data.
| ACO# | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 87.07 | 80.6 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 94.55 | 93.13 |
| ACO-3 | CAHPS: Patients’ Rating of Provider | 93.38 | 92.31 |
| ACO-4 | CAHPS: Access to Specialists | 84.85 | 83.32 |
| ACO-5 | CAHPS: Health Promotion and Education | 59.49 | 62.3 |
| ACO-6 | CAHPS: Shared Decision Making | 79.03 | 75.85 |
| ACO-7 | CAHPS: Health Status/Functional Status | 75.13 | 73.05 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 27.42 | 25.68 |
| ACO-8 | Risk Standardized, All Condition Readmission | 14.81 | 15.01 |
| ACO-35 | Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) | 17.08 | 18.46 |
| ACO-37 | All-Cause Unplanned Admissions for Patients with Heart Failure | 76.64 | 79.16 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 54.24 | 61.74 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 1.78 | 1.93 |
| ACO-11 | Use of Certified EHR Technology | 100 | 98.48 |
| ACO-12 | Medication Reconciliation | 100 | 75.32 |
| ACO-13 | Falls: Screening for Future Fall Risk | 64.69 | 74.38 |
| ACO-44 | Imaging Studies for Low Back Pain | 94.12 | 67.32 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 68.81 | 72.52 |
| ACO-15 | Pneumonia Vaccination Status for Older Adults | 77.24 | 72.92 |
| ACO-16 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up | 75.44 | 70.69 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99.35 | 90.48 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 27.15 | 61.98 |
| ACO-19 | Colorectal Cancer Screening | 64.4 | 64.58 |
| ACO-20 | Breast Cancer Screening | 57.03 | 70.05 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 80.07 | 79.89 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 17.15 | 16.74 |
| ACO-41 | Diabetes: Eye Exam | 39.05 | 50.37 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 65.12 | 71.47 |
| ACO-30 | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic | 91.28 | 86.86 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.
- For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
- For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
- For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
- For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data
Note: In the Quality Performance Results file(s) above, search for “Loudoun Medical Group ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A36039 in the public use files on data.cms.gov.
Payment Rule Waivers
- No, our ACO does not use the SNF 3-Day Rule Waiver.
