ACO Information

CHESS Value ACO

CHESS Value, LLC (CHESS Value) represents groups health care providers who have come together to give coordinated high quality care to the Medicare Fee-for-Service beneficiaries they serve. Coordinated care helps ensure that Medicare beneficiaries get the right care at the right time, with the goal of avoiding unnecessary duplication of services and preventing medical errors.

The CHESS Value ACO is administered by Cornerstone Health Enablement Strategic Solutions, LLC (www.chesshealthsolutions.com), a physician-led company jointly owned by North Carolina Baptist Hospital, Cornerstone Health Care, LLC and Laboratory Corporation of America. ACO Participants include the physicians of AdventHealth Hendersonville (Fletcher Hospital, Inc.), Hugh Chatham Memorial Hospital, Grace Hematology and Oncology, Parkwood Eye Center, and Carolina Ophthalmology, PA. Through the ACO, participating providers are focused on improving access to care, enhancing clinical quality, and controlling costs.

In December 2016, CHESS Value chose to participate in the Medicare Shared Savings Program (MSSP) through the Centers for Medicare and Medicaid Services (CMS) as an Accountable Care Organization (ACO). CHESS Value works with CMS through the shared savings program to provide high quality care in a cost efficient manner with a Medicare beneficiary focused approach.

CHESS Value provides the following information regarding its participation as a Medicare Shared Savings ACO.

Accountable Care Organization Public Reporting Guidance

ACO Name and Location

CHESS Value, LLC
Previous Names: N/A
1701 Westchester Drive, Suite 850
High Point, North Carolina 27262

ACO Primary Contacts

Primary Contact Name Michael Berwanger
Primary Contact Phone Number 336-802-2661
Primary Contact Email Address CHESSACO_Executive@chesshealthsolutions.com

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture
Fletcher Hospital, Inc N
Carolina Ophthalmology, PA N
Grace Hematology and Oncology N
Hugh Chatham Memorial Hospital, Inc. N
Parkwood Eye Center, PA

N

Northern Regional Hospital N

ACO Governing Body

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Sneller

Christy

Voting Member

12.5%

ACO Participant

Fletcher Hospital, Inc.

Singer

Kelley

Voting Member

12.5%

ACO Participant

Fletcher Hospital, Inc.

Stenstrom

Ella

Voting Member

12.5%

ACO Participant

Fletcher Hospital, Inc.

Hammes

Paul

Voting Member

12.5%

ACO Participant

Hugh Chatham Memorial Hospital

Trippel

Don

Voting Member

12.5%

ACO Participant

Hugh Chatham Memorial Hospital

Johnson

Wilma

Voting Member

12.5%

Medicare Beneficiary

N/A

Blackburn

Mary

Voting Member

12.5%

ACO Participant

Hugh Chatham Memorial Hospital

Howerton

Russell

Voting Member

12.5%

Other

CHESS

Key ACO Clinical and Administrative Leadership

Michael Berwanger ACO Executive
Kelley Singer, MD Medical Director
Melissa Pollock Compliance Official
Jesse James, MD Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Performance Improvement Committee Chair- Paul Gulley, Fletcher Hospital, Inc
Compliance Committee Chair- Don Trippel, Hugh Chatham Memorial Hospital, Inc.
Finance Committee Chair- Mary Blackburn, Hugh Chatham Memorial Hospital, Inc.

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals

Amount of Shared Savings/Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $1,402,453
    • Performance Year 2017, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastruction: 15%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2017
      • 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

2018 Quality Performance Results

ACO#  

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

89.57

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

94.43

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

93.23

92.45

ACO-4

CAHPS: Access to Specialists

82.24

81.50

ACO-5

CAHPS: Health Promotion and Education

60.19

59.26

ACO-6

CAHPS: Shared Decision Making

62.85

61.94

ACO-7

CAHPS: Health Status/Functional Status

76.54

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

28.94

26.26

ACO-8

Risk Standardized, All Condition Readmission

14.80

14.98

ACO-35

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

18.84

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

27.59

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

58.77

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

45.21

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI #91))

1.28

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

33.55

85.91

ACO-13

Falls: Screening for Future Fall Risk

91.37

79.73

ACO-44

Imaging Studies for Low Back Pain

26.67

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

63.84

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

80.00

75.97

ACO-16

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

81.72

76.83

ACO-17

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

25.00

72.81

ACO-18

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

70.33

66.74

ACO-19

Colorectal Cancer Screening

72.04

68.27

ACO-20

Breast Cancer Screening

71.84

71.96

ACO-42

Statin therapy for the Prevention and Treatment of Cardiovascular Disease

69.53

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

13.04

15.51

ACO-41

Diabetes: Eye Exam

48.62

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

74.52

73.10

ACO-30

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

84.09

88.92

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

Note: In the Quality Performance Results file(s) above, search for “CHESS Value, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3391 in the public use files on data.cms.gov.

Payment Rule Waivers

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

For More Information Regarding ACOs

  • Talk to your Doctor
  • Visit www.cms.gov/ACO
  • Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048.