Name and Location:

Duke Connected Care
718 Rutherford Street
Durham, NC 27705

 

Primary Contact:

Devdutta (Dev) Sangvai, MD, MBA
devdutta.sangvai@dm.duke.edu
919-613-9719

 

Organizational Information:

ACO Participants:

  1. Duke University Affiliated Physicians
  2. Duke University Health System
  3. DLP Maria Parham Medical Center, LLC
  4. DLP Maria Parham Physician Practices, LLC
  5. DLP Wilson Physician Practices, LLC
  6. Allmed Clinic
  7. Beckford Avenue Medical Center, PA
  8. Carolina Family Health Centers, Inc.
  9. Lincoln Community Health Center, Inc.
  10. North State Medical Center
  11. Primary Medical Care
  12. Private Diagnostic Clinic, PLLC
  13. Roxboro Internal Medicine & Pediatrics, PA
  14. Roxboro Medical Associates, PA
  15. Sundar Internal Medicine Associates, PA
  16. Triangle Community Physicians, PA
  17. Vance Family Medicine, PA
  18. William B. Olds, MD, PA

 

ACO Participants in Joint Ventures Between ACO Professionals and Hospitals:

No participants are involved in a joint venture between ACO professionals and hospitals.

 

ACO Governing Body:

  1. Devdutta Sangvai, MD, MBA, Voting Member and Chair, Duke University Health System 
  2. John Anderson, MD, MPH, Voting Member, Duke University Affiliated Physicians 
  3. Thomas Owens, MD, Voting Member, Duke University Health System 
  4. Sol Aronson, MD, Voting Member, Private Diagnostic Clinic, PLLC 
  5. Joe Rogers, MD, Voting Member, Private Diagnostic Clinic, PLLC
  6. Shauna Guthrie, MD, Voting Member, Vance Family Medicine
  7. Kombiz Klein, DO, Voting Member, Triangle Community Physicians

 

In lieu of a Medicare beneficiary representative on its Governing Body, Duke Connected Care (DCC) received permission from CMS to create a separate Beneficiary Representative Committee (BRC) consisting at least three Medicare beneficiaries served by DCC. The BRC is responsible for making recommendations to the Governing Body regarding several key functions and areas, including establishing physician participation standards; endorsing a quality assurance and improvement plan; endorsing a patient engagement plan; and endorsing a clinical performance incentive plan, which includes a means of ensuring the meaningful commitment of participants and providers and the distribution of any shared savings to participants.  All BRC recommendations are made directly to the Governing Body for its review and comment.

 

 

Key ACO Clinical and Administrative Leadership:

  1. Executive Director: Devdutta Sangvai, MD, MBA
  2. Senior Medical Director: Eugenie Komives, MD
  3. Chief Compliance and Privacy Officer: Colleen Shannon, JD
  4. Administrative Director: Daniel Costello, MPA
  5. Communications Director: Karthik Shyam, MPP

 

Associated Committees and Committee Leadership:

  1. Operating Committee: John Anderson, MD, MPH, Chair
  2. Beneficiary Representative Committee: Cindy Gordon, RN, Chair
  3. Performance Improvement Subcommittee: John Paat, MD, Chair
  4. Payer Strategy and Contracting Subcommittee: Bill Schiff, MHA, Chair
  5. CIN Development and Credentialing Subcommittee: Harry Phillips, MD, Chair

 

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

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Hospital employing ACO professionals
  • Federally Qualified Health Centers (FQHCs)
  • Rural Health Clinics (RHCs)

 

Shared Savings and Losses:

Amount of Shared Savings/Losses:

  • Agreement period beginning 2014, performance year 2014: $0
  • Agreement period beginning 2014, performance year 2015: $0

 

Shared Savings Distribution:

  • Agreement period beginning 2014, performance year 2014
    • Proportion invested in infrastructure and/or redesigned care processes/resources: 75%
    • Proportion of distribution to ACO participants: 25%
  • Agreement period beginning 2014, performance year 2015
    • Proportion invested in infrastructure and/or redesigned care processes/resources: 75%
    • Proportion of distribution to ACO participants: 25%

 

Payment Rule Waivers:

No, our ACO does not utilize the SNF 3-day Rule Waiver.

To be eligible for a waiver under the Medicare Shared Savings Program (MSSP), the Department of Health and Human Services requires the governing body of each ACO to determine that arrangements in which the ACO receives funding, or in-kind items and services, from other entities or providers participating in the ACO that are subject to the waiver, must be reasonably related to the purposes of the MSSP.

Funding or services that are reasonably related to the purposes of the MSSP include funds or services to:

  •     Promote the accountability for the quality, cost and overall care for Medicare beneficiaries;
  •     Manage and coordinate such care; and
  •     Encourage investment in infrastructure to coordinate and redesign care processes for high quality and efficient service delivery to patients.

On Dec 19, 2013, DCC’s Board of Managers approved a pre-participation waiver for start-up expenses in an operating budget that were funded by Duke University Health System (DUHS).  The arrangement provided in-kind staffing from DUHS for MSSP application and start up activities, and funding of legal and consulting services, and membership and meetings of the National Association of ACOs.

On January 13, 2015, DCC’s Board of Managers approved a participation waiver for operating budgets for fiscal years 2014 and 2015 funded by DUHS.  The funding provided for operating and capital expenses related to personnel, services, goods, and facilities to support improved care coordination, beneficiary and provider communications and engagement, and analytics services.

On April 14, 2015, the DCC Board of Managers approved a participation waiver for the fiscal year 2016 operating budget funded by DUHS. The funding provided for operating and capital expenses related to personnel, services, goods, and facilities to support improved care coordination, beneficiary and provider communications and engagement, and analytics services.

On April 9, 2016, the DCC Board of Managers approved a participation waiver for the fiscal year 2017 operating budget funded by DUHS. The funding provides for operating and capital expenses related to personnel, services, goods, and facilities to support improved care coordination, beneficiary and provider communications and engagement, and analytics services.

On May 11, 2017, the DCC Board of Managers approved a participation waiver for the fiscal year 2018 operating budget funded by DUHS. The funding provides for operating and capital expenses related to personnel, services, goods, and facilities to support improved care coordination, beneficiary and provider communications and engagement, and analytics services.

Quality Performance Results:

  • See 2015 Quality Performance Results Table here.
  • See 2012 - 2014 Quality Performance Results Table here.