ACO Information

CHESS MSSP ACO

CHESS MSSP, LLC (CHESS MSSP) represents groups of doctors, hospitals, and other 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.

CHESS MSSP ACO is administered by CHESS (www.chessmso.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 Appalachian Regional Medical Associates, Inc., Catawba Valley Medical Group, Inc., Charles A. Cannon, Jr. Memorial Hospital, Inc., Wake Forest University Health Sciences and Watauga Medical Center, Inc. Through the ACO, participating providers are focused on improving access to care, enhancing clinical quality, and controlling costs.

In December 2014, CHESS MSSP 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 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 provides the following information regarding its participation as a Medicare Shared Savings ACO.

Accountable Care Organization Public Reporting Guidance

General and Organization Information

CHESS MSSP, LLC ACO
Previous Legal Business Entity Name: Cornerstone Health Enablement Strategic Solutions, LLC
1701 Westchester Drive 
Suite 850
High Point, NC 27262

ACO Primary Contacts

Primary Contact Name Katherine Flynn Henry
Primary Contact Phone Number 336-802-2661
Primary Contact Email Address CHESSACO_Executive@chessmso.com

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture
Highroads Pediatrics N
Appalachian Regional Medical Associates Inc. N
Wake Forest University Health Sciences N
Catawba Valley Medical Group, Inc. N
Sports Medicine and Joint Replacement, PLLC N
Watauga Medical Center, Inc. N
Charles A. Cannon, Jr. Memorial Hospital, Inc. N
Hickory Surgical Clinic, Inc. N
Lloyd J. Story, MD PA N
Lexington Orthopedic Clinic, PA N
Fairgrove Radiation Oncology, PA N
Salisbury Orthopaedic Associates, PA N
Sprinkle Foot and Ankle Center, PA N
Pam Sholar 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

Crews

Kimberly

Voting Member

12.5%

ACO Participant Representative

Catawba Valley Medical Group, Inc.

Chesson

Drew

Voting Member

12.5%

ACO Participant Representative

Catawba Valley Medical Group, Inc.

Hoekstra

Jim

Voting Member

12.5%

ACO Participant Representative

Wake Forest University Health Sciences

Lord

Rich

Voting Member

12.5%

ACO Participant Representative

Wake Forest University Health Sciences

Mantooth

Chuck

Voting Member

12.5%

ACO Participant Representative

Appalachian Regional Medical Associates, Inc.

May

Kevin

Voting Member

12.5%

ACO Participant Representative

Appalachian Regional Medical Associates, Inc.

Anderson

James

Voting Member

12.5%

Other

N/A

Ford

Robert

Voting Member

12.5%

Medicare Beneficiary Representative

N/A

Key ACO Clinical and Administrative Leadership

Katherine Henry ACO Executive
James Hoekstra Medical Director
Melissa Pollock Compliance Officer
John Walker Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Performance Improvement Committee Chris McCracken, MD; Chair
Compliance Committee Yates Lackey; Chair
Finance Committee James Hoekstra, MD; Chair

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

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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year, 2016, $3,058,803
    • Performance Year 2015, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 8%
      • Proportion invested in redesigned care processes/resources: 17%
      • Proportion of distribution to ACO participants: 75%
    • 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

Quality Performance Results

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 82.82 79.90
ACO-2 CAHPS: How Well Your Providers Communicate 93.96 92.63
ACO-3 CAHPS: Patients' Rating of Provider 94.02 91.93
ACO-4 CAHPS: Access to Specialists 84.96 83.52
ACO-5 CAHPS: Health Promotion and Education 63.73 60.00
ACO-6 CAHPS: Shared Decision Making 74.53 75.28
ACO-7 CAHPS: Health Status/Functional Status 70.73 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 31.87 27.52
ACO-8 Risk-Standardized, All Condition Readmission 14.22 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.61 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 45.00 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 66.68 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 50.61 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 7.84 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 13.45 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 99.11 82.72
ACO-39 Documentation of Current Medications in the Medical Record 96.88 87.54
ACO-13 Falls: Screening for Future Fall Risk 86.67 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 69.92 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 78.40 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 72.44 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.84 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 73.73 53.63
ACO-19 Colorectal Cancer Screening 66.67 61.52
ACO-20 Breast Cancer Screening 75.40 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 43.28 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.82 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.69 18.24
ACO-41 Diabetes: Eye Exam   58.66 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 60.24 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 93.55 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 89.50 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%) 80.72 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 “CHESS MSSP, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A55003 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
  • Read the ACO Beneficiary Fact SheetAccountable Care Organizations and You: Frequently Asked Questions (FAQ) for People with Medicare.
  • 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.