ACO Name and Location - Integrated Health Collaborative

[Pages:7]ACO Name and Location

Integrated Health Collaborative, LLC Previous Names: N/A c/o Aultman Health Foundation 2600 Sixth Street SW Canton, OH 44710

ACO Primary Contact

Primary Contact Name

Matt Ritzert

Primary Contact Phone Number 330-363-6349

Primary Contact Email Address ihc@

Organizational Information

ACO participants:

ACO Participants

Massillon Family Care, Inc.

Internal Medicine Clinic, Ltd

Partners In Family Practice

Family Medicine, Inc.

Alliance Community Medical Foundation, LLC (ACMF - Alliance Family Physicians) (ACMF - Center for Pain Management) (ACMF - Gastroenterolgy) (ACMF - General and Vascular Surgery) (ACMF - Hospitalists) (ACMF - Otolaryngology, Audiology and Allergy) (ACMF - Urology) (ACMF - Orthopedics and Sports Medicine)

Pinnacle Care Providers, LLC

Chinyere Orafu (Ohio Women's Health and Wellness)

Total Women's Care, Inc.

Health Professionals of Holmes County, Inc. (Pomerene Internal Medicine) (Pomerene OB/GYN) (Pomerene Surgical Services)

ACO Participant in Joint Venture (Enter Y or N) N N N N

N

N N N

N

Ohio Physician Professional Corporation

(AMG - Behavioral Health & Counseling Center)

(AMG - Breast Surgery Specialists)

(AMG - Cardiovascular Consultants)

(AMG - Dr. Oprandi)

(AMG - Family Medicine of Carrollton)

(AMG ? Family Medicine of North Canton)

(AMG - Gynecologic Oncology)

(AMG - Heart Core)

N

(AMG - Inpatient Medicine)

(AMG - Neuro-Hospitalist)

(AMG - Orrville Endocrinology)

(AMG - Plastic Surgeons)

(AMG - Waynesburg Family Medicine)

(Aultman Palliative Care)

(Dunlap OB/GYN)

(Surgical Associates of Canton)

201 Medicine, Inc.

N

Atrium Ob/Gyn., Inc.

N

Mansard Medical Associates, Inc.

N

Aultman North Canton Medical Group

(AMG - Bolivar Medical Center)

(AMG - Cancer Center)

(AMG - Canton South Medical Center)

(AMG - Family Practice of Massillon)

(AMG - Family Medicine of Navarre)

(AMG - Kevin Hill, M.D.)

(AMG - Louisville Internal Medicine)

N

(AMG - Medcorp)

(AMG - North Canton Medical Center)

(AMG ? Podiatry)

(AMG - Steven Weaver, M.D.)

(Aultman General Surgery)

(Aultman Urology)

(Family Medicine of Stark County a Member of AMG)

Stark County Women's Clinic, Inc.

N

Ohio Head and Neck Surgeons, Inc.

N

Stark Radiation Oncology, Inc.

N

Neurocare Center, Inc.

N

Canton Aultman Emergency Physicians, Inc.

N

Health Alliance, Inc.

(ACH - Family Care, Urgent Care Center)

N

(ACH - Palliative Care)

Bethany Medical Center, Inc.

N

West Medical, Inc.

N

Jackson Family Practice, Inc.

N

Little Flower Family Practice

N

Astute Medical Associates, Inc.

N

Gastroenterology Specialists, Inc.

N

Ohio Specialty Physicians Corporation (AMG - Neurosurgery)

N

Gastroenterology and Hepatology Specialists, Inc.

N

Ohio Hospital Based Physician Corporation

N

Millersburg Clinic, Inc.

N

Regional Vascular & Vein Institute, Inc.

N

Union Internal Medicine Specialties, Ltd.

N

Stark County Internal Medicine, Inc.

N

Premier Health Associates, Inc.

N

Premier Gynecology, Inc.

N

Stark County Physicians, LLC

N

Danielle Kiko M.D., LLC (Generation Women's Health)

N

Total Medical Care

N

Urology One, Inc.

N

Glaucoma & Eye Specialists, LLC

N

Falcon Healthcare, Inc.

N

Alliance Medical Associates, Inc.

N

ACO governing body:

Last Name

Member First Name

Title/Position

Member's Voting Power ?Expressed as a percentage or number

Membership Type -

McClain Nam Ahmed Johns

Brian Steve Ashraf James

Vice Chair

1

Treasurer

1

Voting

1

Member

Voting

1

Member

ACO Participant

ACO Participant

ACO Participant

ACO Participant

ACO Participant Legal Business

Name/DBA, if Applicable

Pinnacle Care Providers, LLC Stark County Physicians, LLC Premier Health Associates Inc Little Flower Family Practice

Johnson

Clifford

Voting

1

Member

Kelly

Steven

Voting

1

Member

Mallamaci

David

Voting

1

Member

Metzger

Howard

Voting

1

Member

Mirande

Melanie

Voting

1

Member

Oprandi

Allison

Voting

1

Member

O'Toole

Timothy

Voting

1

Member

Prodafikas John

Voting

1

Member

Sabota Snyder

Robert Tony

Voting

1

Member

Voting

1

Member

Westerbeck John

Voting

1

Member

Wilson

James

Voting

1

Member

Zollinger

Charles

Voting

1

Member

Zurick

Andrew

Voting

1

Member

Blocker

Douglas

Voting

1

Member

Degenhard Anthony

Chair

1

Remark Roth

Chris Ed

Voting

1

Member

Voting

1

Member

ACO Participant

Aultman North Canton Medical Group

ACO Participant

Ohio Physician Professional Corporation

ACO Participant

Jackson Family Practice Inc

ACO Participant

Aultman North Canton Medical Group

ACO Participant

Family Medicine Inc

ACO Participant

Ohio Physician Professional Corporation

ACO Participant

Canton Aultman Emergency Physicians Inc

ACO Participant

Ohio Physician Professional Corporation

ACO Participant

201 Medicine Inc

ACO Participant

Aultman North Canton Medical Group

ACO Participant

West Medical, Inc.

ACO Participant

Atrium OB/Gyn., Inc.

ACO Participant

Neurocare Center, Inc.

Medicare

N/A

Beneficiary

Representative

Other

N/A

Other

N/A

Other

N/A

Other

N/A

Key ACO clinical and administrative leadership:

Allison Oprandi ACO Executive Julie Oberly Medical Director Karen Wulff Compliance Officer Julie Oberly Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Performance Improvement & Quality Finance & Contracting Credentialing & Professional Standards Nominating Committee

Committee Leader Name and Position James Johns, MD, Chair Steve Nam, MD, Chair Melanie Mirande, MD, Chair John Westerbeck, MD, Chair

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

? Hospital employing ACO professionals

? Partnerships or joint venture arrangements between hospitals and ACO professionals ? Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses ? First Agreement Period o Performance Year 2018, $0 o Performance Year 2017, $0 o Performance Year 2016, $0

Shared Savings Distribution ? First Agreement Period o Performance Year 2018 Proportion invested in infrastructure: N/A Proportion invested in redesigned care processes/resources: N/A Proportion of distribution to ACO participants: N/A

o Performance Year 2017

Proportion invested in infrastructure: N/A

Proportion invested in redesigned care processes/resources: N/A

Proportion of distribution to ACO participants: N/A

o 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

Quality Performance Results

2018 Quality Performance Results:

ACO# Measure Name

Rate

ACO Mean

ACO-1 CAHPS: Getting Timely Care, Appointments, and Information

89.14 86.14

ACO-2 CAHPS: How Well Your Providers Communicate

95.20 93.93

ACO-3 CAHPS: Patients' Rating of Provider

92.74 92.45

ACO-4 CAHPS: Access to Specialists

77.66 81.50

ACO-5 CAHPS: Health Promotion and Education

62.17 59.26

ACO-6 CAHPS: Shared Decision Making

61.67 61.94

ACO-7 CAHPS: Health Status/Functional Status

72.44 73.35

ACO34

CAHPS: Stewardship of Patient Resources

30.93 26.26

ACO-8 Risk Standardized, All Condition Readmission

14.44 14.98

ACO35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

16.25 18.59

ACO36

All-Cause Unplanned Admissions for Patients with Diabetes

34.49 37.01

ACO37

All-Cause Unplanned Admissions for Patients with Heart Failure

71.24 76.75

ACO- All-Cause Unplanned Admissions for Patients with Multiple Chronic

38

Conditions

51.98 59.00

ACO43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

1.73

1.98

ACO11

Use of Certified EHR Technology

99.08 98.20

ACO12

Medication Reconciliation Post-Discharge

84.80 85.91

ACO13

Falls: Screening for Future Fall Risk

83.03 79.73

ACO44

ACO14

ACO15

ACO16

ACO17

ACO18

ACO19

ACO20

ACO42

ACO27

ACO41

ACO28

ACO30

Use of Imaging Studies for Low Back Pain

78.26 64.36

Preventive Care and Screening: Influenza Immunization

77.21 72.71

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 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

Colorectal Cancer Screening

76.20 75.97 66.67 76.83 77.36 72.81 64.48 66.74 70.42 68.27

Breast Cancer Screening

70.97 71.96

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.87 81.47

Diabetes Mellitus: Hemoglobin A1c Poor Control

9.72 15.51

Diabetes: Eye Exam

59.03 52.42

Hypertension (HTN): Controlling High Blood Pressure

75.83 73.10

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

90.30 88.92

Payment Rule Waivers

? Skilled Nursing Facility (SNF) 3-day Rule Waiver: o No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

? Waiver for Payment for Telehealth Services: o No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download