Tennessee Valley ACO Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance - Tennessee Valley, LLC
330 Seven Springs Way
Brentwood, TN 37027

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ACO Primary Contact

Primary Contact Name	Rebecca Hall
Primary Contact Phone Number	(256) 710-5200
Primary Contact Email Address	becky.hall@lpnt.net

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Organizational Information

ACO Participants:

ACO Participant Legal Business Name and DBA, if applicable	ACO Participant in Joint Venture (Y or N)
AMG - Crockett, LLC	N
AMG - Hillside, LLC	N
AMG - Southern Tennessee, LLC	N
Athens Physician Practices, LLC	N
Athens Regional Medical Center, LLC	N
Crockett Hospital LLC	N
Donald E Beach PC	N
ECM Health Group LLC	N
ECM TVCC LLC	N
Hillside Hospital LLC	N
Internal Medicine Associates of Florence	N
Northwest Alabama Emergency Medicine LLC	N
North Alabama Neuroservices LLC	N
RCHP - Florence, LLC	N
Shoals Health Group, LLC	N
Shoals Obstetrics and Gynecology, LLC	N
Southern Tennessee Medical Center, LLC	N
Sumner Physician Practices, LLC	N
Sumner Regional Medical Center, LLC	N

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ACO Governing Body:

Member First Name	Member Last Name	Title /Position	Members' Voting Power	Membership Type	ACO Participant Legal Business Name and DBA, if applicable​
Timothy	Crater, MD	Member	10%	ACO Participant Representative	AMG - Southern Tennessee LLC
Ginger	Hamilton	Member	10%	ACO Participant Representative	AMG - Hillside, LLC
Elizabeth	Hall, MD	Member	10%	ACO Participant Representative	Athens Physician Practices, LLC
Kay	Fearing, PA	Member	10%	ACO Participant Representative	AMG - Southern Tennessee LLC
Vickie	Turnbough, MD	Member	10%	ACO Participant Representative	Athens Physician Practices, LLC
Photios	Vassilyadi, MD	Member	10%	ACO Participant Representative	AMG - Crockett, LLC
Jason	Fugleberg	Member	10%	Community Stakeholder Representatives	AMG - Southern Tennessee LLC
John	McClain	Member	10%	Community Stakeholder Representative	Athens Regional Medical Center, LLC
Kristen	Phillips	Member	10%	Community Stakeholder Representative	N/A
Cathy	Shelton	Member	10%	Medicare Beneficiary Representative	N/A

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

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Key ACO Clinical and Administrative Leadership:

ACO Executive	Rebecca Hall
Medical Director	Crater, Timothy, MD
Compliance Officer	Ashlie Heald
Quality Assurance/Improvement Officer	Carol Ann Hudson

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ACO Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Contracting & Finance	Shaun Adams, Committee Chair
Quality and Performance Improvement	Carol Ann Hudson, Committee Chair

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Types of ACO Participants, or combinations or participants, that formed the ACO:

• • ACO Professionals in a group practice arrangement
  • Hospital Employing ACO Professionals
  • Network of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

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Shared Savings and Losses

Amount of Shared Savings & Losses:

• • First Agreement Period
    • Performance Year 2023, $1,684,973
    • Performance Year 2023, $0

Shared Savings Distribution:

• • First Agreement Period
    • ​Performance Year 2023
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2022
      • N/A

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Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on eCQMs/MIPS CQMs

Measure #	Measure Name	Collection Type	ACO Performance	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	MIPS CQM	46.99	35.18
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	eCQM	39.04	48.99
236	Controlling High Blood Pressure	MIPS CQM	63.45	72.35
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1575	0.1553
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	35.10	35.39
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	89.16	83.68
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.90	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	92.86	92.14
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	77.60	75.97
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	55.97	63.93
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	65.78	61.60
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	72.04	74.12
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	85.83	85.77
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	91.86	92.31
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	31.51	26.69

[1] A lower performance rate corresponds to higher quality.

For Previous Years' Financial and Quality Performance Results: please visit data.cms.com.

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Payment Rule Waivers

• • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612