ACO: Patient Information

Download 2018 ACO Patient Information (PDF)

Download CMS “Accountable Care Organizations and You” Patient Information Guide (PDF)

ACO Name and Location

Westchester Medical Group, P.C.
Previous Names: Westmed Medical Group, P.C.
800 Westchester Avenue (Suite N-715)
Rye Brook, NY 10573

ACO Primary Contact

 

Calie Santana, MD
aco@westmedgroup.com
(914) 848-8599

Organizational Information

ACO participants
Westchester Medical Group, P.C.
(WESTMED Medical Group)

ACO participants in joint ventures between ACO professional and hospitals
No participants are involved in a joint venture between ACO professionals and hospitals

ACO governing body

  1. Michael Suzman, MD, Chairman/Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
  2. David Cziner, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
  3. Herbert Gretz, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
  4. Jonathan Finegold, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
  5. Cordelia Schwarz, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
  6. Randy Stein, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
  7. Ronald Dennett, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
  8. Monica Rieckhoff, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
  9. Joshua Waldman, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group

Key ACO clinical and administrative leadership

  1. Steven Meixler, MD (ACO Executive & Medical Director)
  2. Toni Mileo Drohan, Esq. (Compliance Officer)
  3. Calie Santana, MD (Quality Assurance/Improvement Officer)

Associated committees and committee leadership

  1. ACO Advisory Committee: Steven Meixler, MD and Calie Santana MD (Co-Chairs)

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

  1. ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2018, $6,203,325
    • Performance Year 2017, $5,384,460
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $3,266,226
    • Performance Year 2013, $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 50%
      • Proportion of distribution to ACO participants: 20%
    • Performance Year 2017
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 50%
      • Proportion of distribution to ACO participants: 20%
    • 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
  • First Agreement Period
    • 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: 30%
      • Proportion invested in redesigned care processes/resources: 50%
      • Proportion of distribution to ACO participants: 20%
    • Performance Year 2013
      • 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 Table
ACO Number Measure Name
Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.77 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.56 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 93.10 92.45
ACO-4 CAHPS: Access to Specialists 86.07 81.50
ACO-5 CAHPS: Health Promotion and Education 59.19 59.26
ACO-6 CAHPS: Shared Decision Making 52.04 61.94
ACO-7 CAHPS: Health Status/Functional Status 72.93 73.35
ACO-34 CAHPS: Stewardship of Patient Resources* 18.30 26.26
ACO-8 Risk Standardized, All Condition Readmission 15.58 14.98
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)* Readmission 17.73 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes* 33.12 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure* 74.99 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 56.25 59.0
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.67 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation 90.31 85.91
ACO-13 Falls: Screening for Future Fall Risk 68.13 79.73
ACO-44 Imaging Studies for Low Back Pain 72.22 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 81.69 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 87.48 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI)Screening and Follow-up 82.74 76.83
ACO-17 Preventive Care and Screening: Tobacco Use:Screening and Cessation Intervention 36.84 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 62.38 66.74
ACO-19 Colorectal Cancer Screening 80.52 68.27
ACO-20 Breast Cancer Screening 80.76 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.41 84.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 10.96 15.51
ACO-41 Diabetes: Eye Exam* 75.34 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.60 73.10
ACO-30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 91.74 88.92
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

 For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

 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
 For 2013 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/yuq5-65xt/data
Note: In the Quality Performance Results file(s) above, search for “Westchester Medical Group, P.C.” or “WESTMED Medical Group” to view the quality performance results. This ACO can also be found by using the ACO ID A05872 in the public use files on data.cms.gov.
Payment Rule Waivers
 No, our ACO does not use the SNF 3-Day Rule Waiver.