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 Park Ridge Health (Fletcher Hospital, Inc.), Grace Hematology and Oncology, 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 Katherine Flynn Henry
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

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.

Barber

Wendi

Voting Member

12.5%

ACO Participant

Fletcher Hospital, Inc.

Bonney

Stephen

Voting Member

12.5%

ACO Participant

Fletcher Hospital, Inc.

Bradley

Teresa

Voting Member

12.5%

ACO Participant

Fletcher Hospital, Inc.

Bunch

Jim

Voting Member

12.5%

ACO Participant

Fletcher Hospital, Inc.

Kidder

David

Voting Member

12.5%

Medicare Beneficiary

Fletcher Hospital, Inc.

Herbert

Teresa

Voting Member

12.5%

ACO Participant

Fletcher Hospital, Inc.

Howerton

Russell

Voting Member

12.5%

Other

CHESS

Key ACO Clinical and Administrative Leadership

Katherine Flynn Henry ACO Executive
Teresa Herbert, MD Medical Director
Melissa Pollock Compliance Official
Karen Cannon, MD Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Performance Improvement Committee Chair- Kelley Singer, MD, Fletcher Hospital, Inc
Compliance Committee Chair- Kathryn Norfleet, MD, Fletcher Hospital, Inc
Finance Committee Chair- David Onofrey, MD, Fletcher 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 2017, $0

Shared Savings Distribution

  • First Agreement Period
    • 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

2017 Quality Performance Results

ACO#  

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

82.28

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

92.95

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.37

92.31

ACO-4

CAHPS: Access to Specialists

85.57

83.32

ACO-5

CAHPS: Health Promotion and Education

65.50

62.30

ACO-6

CAHPS: Shared Decision Making

79.29

75.85

ACO-7

CAHPS: Health Status/Functional Status

74.65

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

31.70

25.68

ACO-8

Risk Standardized, All Condition Readmission

14.44

15.01

ACO-35

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

17.77

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

38.56

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

63.64

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

45.63

61.74

ACO-43

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

1.67

1.93

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

100.00

98.48

ACO-12

Medication Reconciliation

7.43

75.32

ACO-13

Falls: Screening for Future Fall Risk

79.92

74.38

ACO-44

Imaging Studies for Low Back Pain

65.22

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

67.46

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

71.88

72.92

ACO-16

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

38.01

70.69

ACO-17

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

94.74

90.48

ACO-18

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

46.64

61.98

ACO-19

Colorectal Cancer Screening

56.60

64.58

ACO-20

Breast Cancer Screening

59.55

70.05

ACO-42

Statin therapy for the Prevention and Treatment of Cardiovascular Disease

65.59

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.30

16.74

ACO-41

Diabetes: Eye Exam

46.43

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

67.06

71.47

ACO-30

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

88.19

86.86

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 “CHESS Value, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A25421 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.