ACO Name and Location:

Community Care Partnership of Maine (CCPM) 103 Maine Avenue Bangor, ME  04401

ACO Primary Contact:

Mary Prybylo 360 Broadway Bangor, ME 04401 (207) 907-1000 mary.prybylo@sjhhealth.com

Organizational Information:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
St. Joseph Hospital/St. Joseph Healthcare N
Millinocket Regional Hospital N
Pines Health Services N
Fish River Rural Health N
Penobscot Community Health Center/Penobscot Community Halth Care N
City Of Caribou/Cary Medical Center N
Sebasticook Family Doctors/Hometown Health Center N
York County Community Action Corp/Nasson Health Care N
St. Joseph Ambulatory Care Inc. N
Katahdin Valley Health Center N
DFD Russell Medical Center, Inc. N
Portland Community Health Center/Greater Portland Health 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
Doody Kris CEO 1 Vote ACO Participant City of Caribou/Cary Medical Center
Pelletier Heather CEO, Chair 1 Vote ACO Participant Fish River Rural Health
Tucker Ann CEO 1 Vote ACO Participant Portland Community Health Center/Greater Portland Health
Winslow Robin CEO 1 Vote ACO Participant Hometown Health Center/Sebasticook Family Doctors
Humphrey Claudette CEO 1 Vote ACO Participant Katahdin Valley Health Center
Peterson Robert CEO 1 Vote ACO Participant Millinocket Regional Hospital
Sabol Martin Director of Health Services, Treasurer 1 Vote ACO Participant York County Community Action Corp/Nasson Health Care
Dwyer Lori Pres. & CEO 1 Vote ACO Participant Penobscot Community Health Center/Penobscot Community Health Care
Doody Kris CEO 1 Vote ACO Participant Pines Health Services
Prybylo Mary Pres. & CEO, CCPM CEO 1 Vote ACO Participant St. Joseph’s Hospital/St. Joseph’s Healthcare
Kane-Lewis Laurie CEO 1 Vote ACO Participant DFD Russell Medical Center, Inc.
Bovard Sandy 1 Vote Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership:

Mary Prybylo ACO Executive
David Koffman Medical Director
Lori Dwyer Compliance Officer
Theresa Knowles Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Quality and Clinical Integration Committee David Koffman, MD, Chair; Theresa Knowles, FNP-C, Co-Chair
Data/IT Committee Sharyl White, Chair, HIPAA Security Officer
Medication Use Committee Frank McGrady, PharmD, BCPS, Chair
Care Coordination Committee  Theresa Knowles, FNP-C, Chair
Finance & Operations Committee Martin Sabol, Chair
Compliance Committee Lori Dwyer, Esq., Chair

Types of ACO Participants that form the ACO:

  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings and Losses:

First Agreement Period

  • Performance Year 2017, $4,184,087
  • Performance Year 2016, $2,130,758

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2016
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results:

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.45 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 90.67 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 89.18 92.31
ACO-4 CAHPS: Access to Specialists 83.72 83.32
ACO-5 CAHPS: Health Promotion and Education 62.00 62.30
ACO-6 CAHPS: Shared Decision Making 75.15 75.85
ACO-7 CAHPS: Health Status/Functional Status 75.57 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 29.12 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.60 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.58 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 63.64 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 98.92 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 73.45 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.35 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 25.00 75.32
ACO-13 Falls: Screening for Future Fall Risk 91.90 74.38
ACO-44 Imaging Studies for Low Back Pain 67.62 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 80.95 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 85.60 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 69.76 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.56 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 82.11 61.98
ACO-19 Colorectal Cancer Screening 71.60 64.58
ACO-20 Breast Cancer Screening 79.84 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.47 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.24 16.74
ACO-41 Diabetes: Eye Exam 67.47 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 74.10 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 95.58 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 “Community Care Partnership of Maine, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A65119 in the public use files on data.cms.gov.

Payment Rule Waivers

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