Accountable Care Organizations (ACOs)


On Jan. 1, 2015, Cape Fear Valley Health became one of 405 Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program. These ACOs provide nearly 9 million Medicare beneficiaries with access to high-quality, coordinated care throughout the United States.

ACOs are groups of doctors, hospitals, and other healthcare providers that work together to give Medicare beneficiaries in Original Medicare (fee-for-service) high quality, coordinated care. ACOs can share in any savings they generate for Medicare, if they meet specified quality targets. Beneficiaries seeing healthcare providers in ACOs always have the freedom to choose doctors inside or outside of the ACO.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

ACO Name and Location

Cape Fear Valley Accountable Care Organization, LLC
1638 Owen Dr
Fayetteville, NC 28304

ACO Primary Contact

Primary Contact Name Joseph Fiser
Primary Contact Phone Number (910) 615-5572
Primary Contact Email Address jfiser@capefearvalley.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
CFHS ED Physicians N
Regional Diabetes And Endocrine Center N
CFV Express Care Billing Services, LLC N
CFV Specialty Care Billing Services, LLC N
Cape Fear Valley Health System Specialty Group, LLC N
Angier Medical Services, LLC N
Hoke Healthcare, LLC N
Lillington Medical Services, LLC N
Dunn Medical Services, LLC N
Harnett OBGYN LLC N
Coats Medical Services, LLC N
SRRC Psychology N
HARNETT HEALTH SYSTEM INC N
Cumberland County Hospital System, Inc. N
Behavioral Health Care of Cape Fear Valley Health System N
Blood and Cancer Clinic, P.A. N
Heritage Family Physicians N
Cape Fear Neurosurgery N
Valley Infectious Disease Care N
Bladen Healthcare, LLC N


ACO Governing Body:

Members Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Nagowski Michael Chairperson 1 ACO Participant Representative Cumberland County Hospital System, Inc.
Wells Roxie Voting Member 1 ACO Participant Representative Hoke Healthcare, LLC; Bladen Healthcare, LLC
Vann Shirley Voting Member 1 Medicare Beneficiary Representative N/A
Williams Sandra Voting Member 1 ACO Participant Representative Cumberland County Hospital System, Inc.
Zappa Michael Voting Member 1 ACO Participant Representative Cumberland County Hospital System, Inc.
Fleishman Sam Voting Member 1 ACO Participant Representative Cumberland County Hospital System, Inc.
Jackson Kevin Voting Member 1 ACO Participant Representative Harnett Health System, Inc.


Key ACO Clinical and Administrative Leadership:

Joseph Fiser ACO Executive
Samuel Fleishman, MD Medical Director
Tricia Urquhart-Jones Compliance Officer
Michelle Taylor Quality Assurance/Improvement Officer


Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Advisory Committee Sam Fleishman, MD – Chief Medical Officer
Quality Committee Michelle Taylor - Quality Assurance and Improvement Officer
Primary Care Improvement Committee Robyn McArdle, Committee Chair
Valley Connected Care Marketing Committee Michelle Taylor, Committee Chair
Interdisciplinary Hospital Committee Robyn McArdle, Committee Chair


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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals

Shared Savings/Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • 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 79.98 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 92.37 93.01
ACO-3 CAHPS: Patients' Rating of Provider 92.22 92.25
ACO-4 CAHPS: Access to Specialists 82.48 83.49
ACO-5 CAHPS: Health Promotion and Education 61.27 60.32
ACO-6 CAHPS: Shared Decision Making 73.61 75.40
ACO-7 CAHPS: Health Status/Functional Status 68.46 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 20.92 26.97
ACO-8 Risk-Standardized, All Condition Readmission 14.56 14.70
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.50 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 58.17 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 82.96 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 67.44 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 7.54 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 16.06 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 40.00 82.72
ACO-39 Documentation of Current Medications in the Medical Record 98.01 87.54
ACO-13 Falls: Screening for Future Fall Risk 94.19 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 59.67 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 53.13 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 78.31 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.33 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 66.55 53.63
ACO-19 Colorectal Cancer Screening 45.45 61.52
ACO-20 Breast Cancer Screening 56.92 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 83.27 76.79
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.71 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 20.66 18.24
ACO-41 Diabetes: Eye Exam 20.92 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 56.63 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 84.52 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 79.25 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%) 81.85 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 “Cape Fear Valley Accountable Care Organization, LLC” or "Valley Connected Care" to view the quality performance results. This ACO can also be found by using the ACO ID A47392 in the public use files on data.cms.gov.

Payment Rule Waivers

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