Accountable Care Organization (ACO)

ACO Name and Location:

Western Connecticut Health Network Physician Hospital Organization ACO, Inc. (WCHN ACO)
24 Hospital Avenue
Danbury, CT 06810

Rowena Bergmans
Rowena.Bergmans@wchn.org
203-739-7654

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

William Fitzgerald

N

Vincent Manjoney

N

Philip Simkovitz

N

Jeffrey Sanderson

N

Danbury Hospital

N

St. Vincent's Medical Center

N

Danbury Radiological Associates, PC

N

Gastroenterology Associates of Fairfield PC

N

Associated Neurologists, PC

N

Santiago Escobar, MD

N

Danbury Eye Physicians & Surgeons, Pc

N

Connecticut Family Orthopedics, PC

N

Advanced Specialty Care, P.C.

N

Orthopaedic Specialists of Connecticut, P.C.

N

Richard S. Casden, M.D., P.C.

N

Foot & Ankle Specialists Of Connecticut , Pc

N

Theodore Blum

N

Urology Associates Of Danbury, Pc

N

Western Connecticut Medical Group, Inc

N

Jeffrey Sanderson

N

Michael Z Fein Dpm Pc

N

Stephen Kingsley, MD

N

William Notaro

N

William Fitzgerald, MD

N

Fairfield County Pathology Consultants, LLC

N

Manjoney and Manjoney LLC

N

Women's Health Associates PC

N

Victor Ylagan

N

Associated Family Physicians Pc

N

Philip Simkovitz

N

Vincent Manjoney

N

Pulmonary And Internal Medicine Of Fairfield County, Pc

N

Colon And Rectal Surgeons Of Fairfield County, Llc

N

Northeast Radiology Of Connecticut, Llc

N

Danbury Medical Group, LLC

N

New Milford Medical Group, LLC

N

Dr. Joel S. Segalman, LLC

N

Ophthalmic Consultants of Connecticut

N

Betty Klein, M.D., P.C.

N

Connecticut Vascular & Thoracic Surgical Associates PC

N

Richard Margules

N

Tarun K. Gupta, MD, LLC

N

Bridgeport Radiological Associates, LLC

N

Endocrine Associates, LLC

N

Norwalk Hospital Association

Y

William Notaro

N

Theodore Blum

N

Santiago Escobar

N

Stephen Kingsley, MD

N

Hindola Konrad, MD, PC

N

Eye Care of Danbury, LLC

N

Thourya Haoues-Brown, MD

N

Victor Ylagan

N

Prime Healthcare Of Southport,Llc

N

Connecticut Neck & Back Specialists, LLC

N

Ganesh Natarajan, MD

N

Larry Wasser

N

Vitreoretinal Surgeons, LLC

N

Fairfield County Integrative Family Medicine, LLC

N

Gregory Brucato, Md Llc

N

Allergy Center Of Connecticut, Pc

N

Infectious Disease Specialists Of Connecticut, Llc

N

Hervey Weitzman, Md, Llc

N

Fairfield Ophthalmology, LLC

N

Cardiology Physicians of Fairfield County, LLC

N

Z. Michael Taweh Md Inc

N

Eastern New York Medical Services, PC

N

St. Vincent's Urgent Care, LLC

N

Primary Care Physicians of Stratford, LLC

N

Thourya Haoues-Brown Md Llc

N

Drs Goldfarb, Ranno And Associates. Llc

N

Richard Margules

N

Newtown Diagnostic Imaging Llc

N

Litchfield County Orthopedic & Spine, PC

N

Peter Licht Md & Jennifer Holloway

N

St. Vincent's Multispecialty Group Inc

N

Family Foot & Ankle Specialists, LLC

N

Pacey Pet MD FACP, LLC

N

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Bergmans

Rowena

WCHN ACO Executive Director

1

Other – WCHN Representative

N/A

Carr

Robert

WCHN ACO Medical Director

1

ACO Participant Representative

Western Connecticut Medical Group, PC

Daglio

Michael

Chairman

1

ACO Participant Representative

Danbury Hospital

Rosenberg

Steve

Voting Member

1

ACO Participant Representative

Danbury Hospital

Gemming

Richard

Voting Member

1

ACO Participant Representative

Western Connecticut Medical Group, PC

Waskiel

Jayma

Voting Member

1

Other – WCHN Representative

N/A

Cohen

Bruce

Voting Member

1

Community Stakeholder

N/A

Ferreira

Cornelius

Voting Member

1

ACO Participant Representative

Western Connecticut Medical Group, PC

Tarbell

Karen

Voting Member

1

ACO Participant Representative

Western Connecticut Medical Group, PC

Culligan

Neil

Voting Member

1

ACO Participant Representative

Associated Neurologists, PC

Gorelick

Adam

Voting Member

1

ACO Participant Representative

Western Connecticut Medical Group, PC

Manetti

Guy

Voting Member

1

ACO Participant Representative

Urology Associates of Danbury

Kramer

David

Voting Member

1

ACO Participant Representative

Connecicut Neck & Back Specialists, LLC

Islam

Sohel

Voting Member

1

ACO Participant Representative

Advanced Specialty Care, P.C.

Auger

Diane

Voting Member

1

ACO Participant Representative

St. Vincent’s Medical Center

Gotschall

Daniel

Voting Member

1

ACO Participant Representative

St. Vincent’s Multispecialty Group Inc

Hunt

Michael

Voting Member

1

ACO Participant Representative

St. Vincent’s Medical Center

  • Rowena Bergmans – ACO Executive
  • Robert Carr – Medical Director
  • Joseph Campbell – Compliance Officer
  • Cornelius Ferreria, MD – Quality Assurance/Improvement Officer
  • ACO Quality Committee – Cornelius Ferreria, MD, Chair
  • Membership Committee – Robert Carr, MD, Chair
  • Patient & Family Advisory Committee – Georgina Carlson, Chair
  • Community Health Committee – Rowena Bergmans, Chair
  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals

Amount of Shared Savings/Losses

  • First Agreement Period

    - Performance Year 2016, $0

    - Performance Year 2015, $0

Shared Savings Distribution

  • 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
No, our ACO does not utilize the SNF 3-Day Rule Waiver.

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

84.16

80.51

ACO-2

CAHPS: How Well Your Providers Communicate

92.96

93.01

ACO-3

CAHPS: Patients’ Rating of Provider

91.71

92.25

ACO-4

CAHPS: Access to Specialists

83.67

83.49

ACO-5

CAHPS: Health Promotion and Education

58.59

60.32

ACO-6

CAHPS: Shared Decision Making

74.07

75.40

ACO-7

CAHPS: Health Status/Functional Status

74.72

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

21.28

26.97

ACO-8

Risk Standardized, All Condition Readmission

14.55

14.70

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

17.55

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

54.74

53.20

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

78.05

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

63.14

59.81

ACO-9

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

7.63

9.27

ACO-10

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

13.30

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

90.29

82.72

ACO-39

Documentation of Current Medications in the Medical Record

91.28

87.54

ACO-13

Falls: Screening for Future Fall Risk

73.16

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

82.81

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

76.53

69.21

ACO-16

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

82.52

74.45

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

96.70

90.98

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

57.48

53.63

ACO-19

Colorectal Cancer Screening

72.56

61.52

ACO-20

Breast Cancer Screening

70.38

67.61

ACO-21

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

73.90

76.79

ACO-42

Statin therapy for the Prevention and Treatment of Cardiovascular Disease

84.62

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

13.45

18.24

ACO-41

Diabetes: Eye Exam

36.26

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

72.99

70.69

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

92.49

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

91.28

88.67

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%)

77.84

79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Western Connecticut Health Network Physician Hospital Organization ACO, Inc.” or “WCHN ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A63260 in the public use files on data.cms.gov.