ACO Name and Location. ACO Primary Contact. Organizational Information. Don Franke. Primary Contact Name. Primary Contact Phone Number
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1 ACO ame and Location Accountable Care Organization, LLC Previous Legal Business Entity ame: Alexian Brothers Accountable Care Organization, LLC 3040 Salt Creek Lane Arlington Heights, Illinois ACO Primary Contact Primary Contact ame Don Franke Primary Contact Phone umber Primary Contact Address Organizational Information ACO participants: ACO s Maninder Kohli Sanuka Medical Center, S.C. MPS Kohli MD,SC Jas Brar M.D, S.C. Batool Musvi Cynthia Palmisano Chinmay Patel Adventist Hinsdale Hospital Alexian Brothers Medical Center Suburban Surgical Care Specialists, S.C ACO in Joint Venture (Enter Y or )
2 Francis Cheng, MD SC Baluchi, Ltd. Ramesh Melvani M.D.,S.C. Willowbrook Family Practice Adventist GlenOaks Hospital Western Springs Family Practice Center, Ltd. Cynthia Palmisano Arthur. Skladman, MD SC Frank Chao, MD Lisa Kim Medical Associates orthwest Healthcare Associates Howard S. Mangurten MD, SC Bonaventure Medical Foundation, Llc Midwest Family Physicians, LTD Krishna V. adhan, MD, SC Dr Mark E Pappadopoli M D P C Adventist Health Partners, Inc. Family Medical Center of LaGrange, Ltd. Mahrukh Subhani
3 St. Alexius Medical Center Family of LaGrange, S.C. Adventist Health System Sunbelt,Inc. TDK Family Medical Centers, LLC Dupage Internal Medicine, L.L.C. Batool Musvi, MD Preston Health Partners, PC Premier Internists, S.C. Chinmay Patel, DO Alexian Brothers Medical Care Group, FP Adventist Bolingbrook Hospital Premier Health Partners LLC
4 ACO governing body: Member Last ame First ame Title/Position Kohli Maninder MD/ Board Chair and Kane James MD/ Vice Chair and Collins Mark MD/ Board elson Ken MD/ Board Reda Joseph MD/ Board Brueschke Tina MD/ Board Malkin Steve MD/ Board Lagattuta Joseph MD/ Board Osten Michael MD/ Board Herforth Lawrence Medicare Beneficiary and Board Llerena Reinhold MD/ Board Member's Voting Power Membership Type 1 Medicare Beneficary Representative ACO TI Legal Business ame/dba, if Applicable MPS Kohli, MD, SC Suburban Surgical Care Associates, LLC Western Springs Family Practice Center, Ltd. Adventist Health Partners, Inc. Cassidy Patricia Board Representative
5 Bacchetti Alex Board Secretary and Representative Frey Mark Ex Officio 0 ACO Franke Don ACO CEO- Ex Officio 0 ACO Frech Scott Board Treasurer 0 ACO Key ACO clinical and administrative leadership: Don Franke ACO Executive Luke Hansen Medical Elizabeth Contant Compliance Officer Susan Wickey Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee ame Medical Management Committee etwork Participation and Provider Selection Committee Finance and Contracting Committee Information Systems and Data Analytics Committee Committee Leader ame and Position Dr. Daniel Sauri/ Chair Dr. John Wilkerson/ Chair Dr. Reinhold Llerena/ Chair Dr. Dino Vallera/Chair Types of ACO participants, or combinations of participants, that formed the ACO: ACO professionals in a group practice arrangement etworks of individual practices of ACO professionals Partnerships or joint venture arrangements between hospitals and ACO professionals Hospital employing ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses
6 Second Agreement Period o Performance Year 2016, $20,489,157 First Agreement Period o Performance Year 2015, $0 o Performance Year 2014, $0 o Performance Year 2013, $0 Shared Savings Distribution Second Agreement Period o Performance Year 2016 Proportion invested in infrastructure: 10% Proportion invested in redesigned care processes/resources: 10% Proportion of distribution to ACO participants: 80% First Agreement Period o Performance Year 2015 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A o Performance Year 2014 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A o Performance Year 2013 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A Quality Performance Results 2016 Quality Performance Results:
7 ACO# Measure ame Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information CAHPS: How Well Your Providers Communicate CAHPS: Patients' Rating of Provider CAHPS: Access to Specialists CAHPS: Health Promotion and Education CAHPS: Shared Decision Making CAHPS: Health Status/Functional Status CAHPS: Stewardship of Patient Resources Risk-Standardized, All Condition Readmission Skilled ursing Facility 30-Day All-Cause Readmission Measure (SFRM) All-Cause Unplanned Admissions for Patients with Diabetes All-Cause Unplanned Admissions for Patients with Heart Failure All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) Percent of PCPs who Successfully Meet Meaningful Use Requirements Documentation of Current Medications in the Medical Record Falls: Screening for Future Fall Risk Preventive Care and Screening: Influenza Immunization Pneumonia Vaccination Status for Older Adults Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
8 18 Preventive Care and Screening: Screening for Clinical Depression and Followup Plan Colorectal Cancer Screening Breast Cancer Screening Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Diabetes Mellitus: Hemoglobin A1c Poor Control Diabetes: Eye Exam Hypertension (HT): Controlling High Blood Pressure Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) Please note, the 40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. For 2016 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care- O/3jk5-q6dr/data For 2015 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8vaz7cu For 2014 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/uccehhpu For 2013 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care- O/yuq5-65xt ote: In the Quality Performance Results file(s) above, search for Accountable Care Organization, LLC to view the quality performance results. This ACO can also be found by using the ACO ID A96588 in the public use files on data.cms.gov. Payment Rule Waivers o, our ACO does not use the SF 3-Day Rule Waiver.
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