Types of ACO Participants, or Combinations of Participants, That Formed the ACO

The Greater Baltimore Health Alliance (GBHA) is a wholly owned Limited Liability Company (LLC) of GBMC Healthcare, Inc. It was created to align health care providers and achieve a three-part aim of Improved Health, Improved Care and Less Waste. GBHA has successfully brought over 90 primary care providers together to participate in the Medicare Shared Savings Program. GBHA includes providers from 5 independent practices, Greater Baltimore Medical Associates (GBMA), and Gilchrist Elder Medical Care. The Greater Baltimore Health Alliance is one of only 561 Accountable Care Organizations (ACOs) in the nation, participating in the Medicare Shared Savings Program. It is one of twelve operating in the State of Maryland and the first ACO in Maryland associated with a hospital.

ACO Name and Location:

Greater Baltimore Health Alliance Physicians, LLC
6701 N. Charles Street
South Chapman Building, Suite 102
Towson, MD 21204

ACO Primary Contact:

Primary Contact Name Mary Ely
Primary Contact Phone Number (443) 849-2435
Primary Contact Email Address Mely@gbmc.org

Organizational Information:

ACO Participants

ACO Paticipants ACO Participant in Joint Venture (Enter Y or N)
Joseph T. Pallan, M.D., P.A. N
Josephs, Turner, and O'Malley, M.D., P.A. N
Chapel View Family Care, Pc N
Vincent P. Wroblewski M D Pa N
Feirtag & Ramos, PA N
Linda A Walsh Md Pa N
GBMC Healthcare Inc. N


ACO Governing Body

2015 reporting period Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Riley W. Anthony M.D./Chair 1 ACO Participant Gbmc Healthcare Inc.
Chan Fred M.D. 1 ACO Participant Gbmc Healthcare Inc.
Ebright Bradford M.D. 1 ACO Participant Chapel View Family Care, Pc
Motter-Mast Robin M.D. 1 ACO Participant Gbmc Healthcare Inc.
Jones-Shook Debbie CRNP 1 ACO Participant Gbmc Healthcare Inc.
Stringer Ronald - 1 Beneficiary Gbmc Healthcare Inc.
Celano Paul M.D. 1 ACO Participant Gbmc Healthcare Inc.
Daly Mel M.D. 1 ACO Participant Gbmc Healthcare Inc.
Schwoyer-Morgan Tracie CRNP 1 ACO Participant Gbmc Healthcare Inc.
Chessare John M.D. 1 Hospital Administrator Gbmc Healthcare Inc.
Tucker Harold M.D. 0 Hospital Administrator Gbmc Healthcare Inc.
Lamos Mark M.D./Medical Director 0 ACO Participant Gbmc Healthcare Inc.

 

Key ACO clinical and administrative leadership

Mary Ely ACO Executive
Mark Lamos, M.D. Medical Director
Lisa Wojeski Compliance Official
Megan Priolo Quality Assurance/Improvement

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
GBHA Specialty Advisory Committee Harold Tucker, M.D. Chairperson, ACO professional
GBHA Quality Committee W. Anthony Riley, M.D. Chairperson, ACO professional

 

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



Shared Savings and Losses

Amount of Shared Savings/Losses

Shared Savings Distribution



Quality Performance

2016 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO - 1 CAHPS: Getting Timely Care, Appointments, and Information 80.13 80.51
ACO - 2 CAHPS: How Well Your Providers Communicate 93.81 93.01
ACO - 3 CAHPS: Patients’ Rating of Provider 92.55 92.25
ACO - 4 CAHPS: Access to Specialists 82.6 83.49
ACO - 5 CAHPS: Health Promotion and Education 62.8 60.32
ACO - 6 CAHPS: Shared Decision Making 76.71 75.40
ACO - 7 CAHPS: Health Status/Functional Status 72.08 72.30
ACO - 34 CAHPS: Stewardship of Patient Resources 24.51 26.97
ACO - 8 Risk Standardized, All Condition Readmission 14.90 14.70
ACO - 35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.86 18.17
ACO - 36 All-Cause Unplanned Admissions for Patients with Diabetes 68.38 53.20
ACO - 37 All-Cause Unplanned Admissions for Patients with Heart Failure 105.04 75.23
ACO - 38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 76.47 59.81
ACO - 9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 10.79 9.27
ACO - 10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 22.19 14.53
ACO - 11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 97.59 82.72
ACO - 39 Documentation of Current Medications in the Medical Record 60.23 87.54
ACO - 13 Falls: Screening for Future Fall Risk 71.21 64.04
ACO - 14 Preventive Care and Screening: Influenza Immunization 66.42 68.32
ACO - 15 Pneumonia Vaccination Status for Older Adults 66.72 69.21
ACO - 16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 77.07 74.45
ACO - 17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91.11 90.98
ACO - 18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 63.85 53.63
ACO - 19 Colorectal Cancer Screening 64.21 61.52
ACO - 20 Breast Cancer Screening 64.24 67.61
ACO - 21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 56.03 76.79
ACO - 42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.33 77.72
ACO - 27 Diabetes Mellitus: Hemoglobin A1c Poor Control 17.78 18.24
ACO - 41 Diabetes: Eye Exam 39.61 44.94
ACO - 28 Hypertension: Controlling High Blood Pressure 70.36 70.69
ACO - 30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 84.79 85.05
ACO - 31 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 93.75 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%) 78.31 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 “Greater Baltimore Health Alliance Physicians, LLC” or "Greater Baltimore Health Alliance" to view the quality performance results. This ACO can also be found by using the ACO ID A31344 in the public use files on data.cms.gov.

Payment Rule Waivers