Lahey Health Home - Lahey Health
ACO Name and Location
Lahey Clinical Performance Accountable Care Organization, LLC
Previous Names: N/A
701 Edgewater Place, Suite 420
Wakefield, MA 01880
ACO Primary Contact
|Primary Contact Name |Nicole DeVita |
|Primary Contact Phone Number |978-236-1677 |
|Primary Contact Email Address |nicole.devita@ |
Organizational Information
ACO participants:
|ACO Participants |ACO Participant in Joint Venture (Enter Y or N) |
|Robert D Tufts Jr MD |Y |
|Winchester Hospital |Y |
|Northeast Hospital Corporation |Y |
|Coastal Orthopedic Assoc Inc |Y |
|Mahesh M Patel MD Inc |Y |
|Beverly Anesthesia Associates Inc |Y |
|Beverly Radiology Associates |Y |
|Northeast Eye Care Inc |Y |
|Lahey Clinic, Inc. |Y |
|Lahey Clinic Hospital Inc |Y |
|Beverly Pathology Associates Inc |Y |
|Jewett Podiatry Center |Y |
|Henry A Frissora MD |Y |
|John Gurley, Md, Pc |Y |
|Northeast Medical Practice Inc |Y |
|Essex County OBgyn Assoc Inc |Y |
|Beverly M Shafer MD |Y |
|Winchester Physician Associates Inc |Y |
|Thomas S Pearce MD PC |Y |
|Cape Ann Eye Specialists PC |Y |
|Willow Street Family Practice Inc |Y |
|SR Amesbury MD PC |Y |
|Emtar Health Care Inc |Y |
|Beacon Family Medicine LLP |Y |
|North Shore Pain Management, Llc |Y |
|North Shore Preventive Health Care Pc |Y |
|North Shore Neurology & Emg Llc |Y |
|Allergy Affiliates of Danvers |Y |
|Thompson Medical Associates Llc |Y |
|Cape Ann Medical Center LLC |Y |
|Manor Hill Medical Associates, LLC |Y |
|Lahey Physician Community Organization I, Inc |Y |
|Congenial Healthcare, LLC |Y |
|Massachusetts Dermatology Associates, P.C. |Y |
ACO governing body:
|Member |Member's Voting Power|Membership Type |ACO Participant Legal Business |
| |– Expressed as a | |Name/DBA, if Applicable |
| |percentage or number | | |
|Last Name |First Name |Title/Position | | | |
|Albanese |Salvatore |MD/PCP |1 |ACO Participant |Winchester Physician Associates|
| | | | |Representative |Inc |
|Antoniades |Efstathios |COO, Lahey Hospital |1 |ACO Participant |Lahey Clinic Hospital Inc |
|Efstathios | |Medical Center | |Representative | |
|COO, Lahey Hospital | | | | | |
|Medical Center | | | | | |
|1 | | | | | |
|ACO Participant | | | | | |
|Representative | | | | | |
|Lahey Clinic | | | | | |
|Hospital Inc | | | | | |
| | | | | | |
|Barrand |Stephen |MD/SCP |1 |ACO Participant |Beverly Radiology Associates |
| | | | |Reprsentative | |
|Chaoui |Alain |MD/PCP |1 |ACO Participant |Congenial Healthcare, LLC |
| | | | |Representative | |
|Cormier |Phil |CEO, Beverly and |1 |ACO Participant |Northeast Hospital Corporation |
| | |Addison Gilbert | |Representative | |
| | |Hospital | | | |
|Dubrow |John |MD/SCP |1 |ACO Participant | |
| | | | |Representative | |
|Ezzi |Pierre |MD/Chair |1 |ACO Participant |Northeast Medical Practice Inc |
| | | | |Representative | |
|Fischer |Steven |Treasurer | |Other | |
|Graves |Suzanne |MD/PCP |1 |ACO Participant | |
| | | | |Representative | |
|Harte |Frank |MD/PCP |1 |ACO Participant |Congenial Healthcare, LLC |
| | | | |Representative | |
|Herron |Christopher |MD/PCP |1 |ACO Participant |Winchester Physician Associates|
| | | | |Representative | |
|Kelliher |Timothy |MD/SCP |1 |ACO Participant |North Shore Neurology & EMG Llc|
| | | | |Representative | |
|Jett |Laura |MD/PCP |1 |ACO Participant |Lahey Clinic, Inc. |
| | | | |Representative | |
|Medwid |William |MD/PCP |1 |ACO Participant |Lahey Physician Community |
| | | | |Representative |Organization I, Inc |
|O’Brien |Robert |MD/SCP |1 |ACO Participant |Winchester Physicians |
| | | | |Representative |Associates |
|Popelka |Andrew |MD/SCP |1 |ACO Participant |Lahey Physician Community |
| | | | |Representative |Organization I, Inc |
|Sebba |Leslie |MD/ President |1 |Other | |
|Soderland |Carl |MD/PCP |1 |ACO Participant |Lahey Clinic, Inc. |
| | | | |Representative | |
|Solomon |Joel |MD/PCP |1 |ACO Participant |Winchester Physicians |
| | | | |Representative |Associates |
|Abramson |Michael |Clerk | |Other | |
|Tramontozzi |Meghan |MD/PCP |1 |ACO Participant |Congenial Healthcare, LLC |
| | | | |Representative | |
|Wald |Christoph |MD/SCP |1 |ACO Participant |Lahey Clinic, Inc. |
| | | | |Representative | |
|Weiner |Richard |MD/ CEO Winchester |1 |ACO Participant |Winchester Hospital |
| | |Hospital | |Representative | |
|Pulsifer |Nathan |Medicare Beneficiary |1 |Medicare Beneficiary | |
| | | | |Representative | |
Key ACO clinical and administrative leadership:
|Leslie Sebba |ACO Executive |
|Leslie Sebba |Chief Medical Officer |
|Katherine Record |Compliance Officer |
|Meghan Tortora |Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
|Committee Name |Committee Leader Name and Position |
|Medical Management and Policy Committee |Leslie Sebba, MD; ACO Executive |
|Funds Flow Committee |Nicole DeVita; COO, Lahey Clinical Performance ACO |
Types of ACO participants, or combinations of participants, that formed the ACO:
• ACO professionals in a group practice arrangement
• Hospital employing ACO professionals
• Partnerships or joint venture arrangements between hospitals and ACO professionals
• Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
• Second Agreement Period
o Performance Year 2018, $10,395,720
o Performance Year 2017, $4,634,028
o Performance Year 2016, $0
• First Agreement Period
o Performance Year 2015, $4,617,502
o Performance Year 2014, $5,175,487
o Performance Year 2013, $0
Shared Savings Distribution
• Second Agreement Period
o Performance Year 2018
▪ Proportion invested in infrastructure: 50%
▪ Proportion invested in redesigned care processes/resources:
▪ Proportion of distribution to ACO participants: 50%
o Performance Year 2017
▪ Proportion invested in infrastructure: 67%
▪ Proportion invested in redesigned care processes/resources:
▪ Proportion of distribution to ACO participants: 33%
o 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
o Performance Year 2015
▪ Proportion invested in infrastructure: 50%
▪ Proportion invested in redesigned care processes/resources:
▪ Proportion of distribution to ACO participants: 50%
o Performance Year 2014
▪ Proportion invested in infrastructure: 30%
▪ Proportion invested in redesigned care processes/resources: 35%
▪ Proportion of distribution to ACO participants: 35%
o 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:
|ACO# |Measure Name |Rate |ACO Mean |
|ACO-1 |CAHPS: Getting Timely Care, Appointments, and Information |86.05 |86.14 |
|ACO-2 |CAHPS: How Well Your Providers Communicate |93.33 |93.93 |
|ACO-3 |CAHPS: Patients’ Rating of Provider |92.79 |92.45 |
|ACO-4 |CAHPS: Access to Specialists |81.31 |81.50 |
|ACO-5 |CAHPS: Health Promotion and Education |61.39 |59.26 |
|ACO-6 |CAHPS: Shared Decision Making |59.27 |61.94 |
|ACO-7 |CAHPS: Health Status/Functional Status |75.25 |73.35 |
|ACO-34 |CAHPS: Stewardship of Patient Resources |20.28 |26.26 |
|ACO-8 |Risk Standardized, All Condition Readmission |15.63 |14.98 |
|ACO-35 |Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) |18.75 |18.59 |
|ACO-36 |All-Cause Unplanned Admissions for Patients with Diabetes |39.98 |37.01 |
|ACO-37 |All-Cause Unplanned Admissions for Patients with Heart Failure |88.50 |76.75 |
|ACO-38 |All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |65.93 |59.00 |
|ACO-43 |Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) |2.38 |1.98 |
|ACO-11 |Use of Certified EHR Technology |99.62 |98.20 |
|ACO-12 |Medication Reconciliation Post-Discharge |97.79 |85.91 |
|ACO-13 |Falls: Screening for Future Fall Risk |83.06 |79.73 |
|ACO-44 |Use of Imaging Studies for Low Back Pain |59.70 |64.36 |
|ACO-14 |Preventive Care and Screening: Influenza Immunization |80.00 |72.71 |
|ACO-15 |Pneumonia Vaccination Status for Older Adults |90.76 |75.97 |
|ACO-16 |Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up |73.64 |76.83 |
|ACO-17 |Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |94.12 |72.81 |
|ACO-18 |Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |57.20 |66.74 |
|ACO-19 |Colorectal Cancer Screening |82.54 |68.27 |
|ACO-20 |Breast Cancer Screening |82.14 |71.96 |
|ACO-42 |Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |81.36 |81.47 |
|ACO-27 |Diabetes Mellitus: Hemoglobin A1c Poor Control |9.09 |15.51 |
|ACO-41 |Diabetes: Eye Exam |50.59 |52.42 |
|ACO-28 |Hypertension (HTN): Controlling High Blood Pressure |79.93 |73.10 |
|ACO-30 |Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet |92.03 |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.
• For 2018 Quality Performance Results please visit:
• For 2017 Quality Performance Results please visit:
• For 2016 Quality Performance Results please visit:
• For 2015 Quality Performance Results please visit:
• For 2014 Quality Performance Results please visit:
• For 2013 Quality Performance Results please visit:
Note: In the Quality Performance Results file(s) above, search for “Lahey Clinical Performance Accountable Care Organization, LLC” or “Lahey Clinical Performance ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A1490 in the public use files on data..
Payment Rule Waivers
• No, our ACO does not use the SNF 3-Day Rule Waiver.
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