ACO Name and Location

Privia Quality Network Tennessee, LLC
Location: 950 N. Glebe Rd Suite 700
Arlington, VA 22203

ACO Primary Contact

Kayla Williams
Phone: 571-366-8850
Email: kayla.williams@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Bay Area Surgical Specialists, Inc a Medical Corporation N
Great Falls Clinic, LLP N

ACO Governing Body:

Member First Name Member Last Name Member Title/Position Member’s Voting Power –Expressed as a percentage or number Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Libby Lake, MD ACO Participant Representative 12.5% Director Great Falls Clinic LLP
David Kluge, MD ACO Participant Representative 12.5% Director Great Falls Clinic LLP
Daniel Morgan, MD ACO Participant Representative 12.5% Director Bay Area Surgical Specialists, Inc a Medical Corporation
Nicolas Makhoul, MD ACO Participant Representative 12.5% Director Bay Area Surgical Specialists, Inc a Medical Corporation
Mark Reginato, MD ACO Participant Representative 12.5% Director Bay Area Surgical Specialists, Inc a Medical Corporation
Tanvi Raman, MD ACO Participant Representative 12.5% Director Bay Area Surgical Specialists, Inc a Medical Corporation
Allison Bryt, MD ACO Executive 12.5% Director Privia Quality Network Tennessee, LLC
Kenneth Dixon Medicare Beneficiary Representative 12.5% Director N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Allison Bartley Bryt, MD

Medical Director: Allison Bartley Bryt, MD

Compliance Officer: Stephanie Clark

Quality Assurance/Improvement Officer: Tiffany Johnson

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Compliance Committee Libby Lake, MD, Chair

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

  • ACO professionals in a group practice arrangements
  • Networks of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Performance Year 2022: $0

 

Shared Savings Distribution

  • Performance Year 2022: N/A

Quality Performance Results

2022 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface Measure Set

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 9.74 10.71
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 61.38 76.97
Measure # 236 Controlling High Blood Pressure CMS Web Interface 67.3 76.16
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 78.17 87.83
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 73.44 77.34
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 50 79.27
Measure # 113 Colorectal Cancer Screening CMS Web Interface 75.44 75.32
Measure # 112 Breast Cancer Screening CMS Web Interface 75 78.07
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 79.07 86.37
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 9.26 16.03
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1421 0.1510
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 26.13 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.27 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 92.11 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 91.53 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 74.96 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 59.64 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 54.96 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 75.48 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 83.75 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 91.59 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 22.38 25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov