MSSP Public Reporting ACO Name and Location MissionPoint Indianapolis 523 Mainstream Drive Nashville, TN 37228 ACO Primary Contact Jason Dinger [email protected] (615) 284-5700 Composition of ACO • Partnership between hospitals, health systems and ACO professionals ACO Participants • • • • • • • • • • • • • • • • • • • • • Baptist Healthcare Group STHS Heart, LLC Hickman Community Health Care Services Saint Thomas Hickman Hospital Saint Thomas Midtown Hospital Saint Thomas Rutherford Hospital Saint Thomas West Hospital Matthew Walker Comprehensive Health Center, Inc. Heritage Medical Associates, P.C. Robert F. Baker, Jr., M.D. Fayetteville Medical Associates, P.C. Sumner Medical Group, PLLC Children and Adults Medical Group, LLC Parkway Medical Group, P.C. Amaresh Misra, M.D. Anba Abraam Medical Clinic Ashok K. Mehta, MD. PC dba Simplycare Ayrika L. Bell MD Centers for Family Medicine Charles R. Tessier DO, PC dba Hometown Family Medical Cookeville Family Medicine & Urgent Care Updated May 2015 MSSP Public Reporting ACO Participants, cont’d • • • • • • • • • • • East Nashville Family Medicine Glenn H. Booth Jr., M.D., Ph.D. Hickory Medical Advisors, PC John T. Shaw, M.D. Judson E. Rogers, M.D. Knolls Place Medical Clinic Leavitt Family Medicine Norris Creek Family Practice Physician Partners, PC dba Unity Medical Clinic Regents Medical Center Twin Oaks Primary Care, Inc. • Westmoreland Family Care MissionPoint Health Partners ACO Governing Body • • • • • • • • • • • • • Dr. Michael Schatzlein, Voting Member and Chair: CEO, Saint Thomas Health Dr. Paul Gentuso, Voting Member: Internal Medicine, Heritage Medical Associates Dr. Paul Heil, Voting Member: Pediatrician, Old Harding Pediatric Group Dr. Leah Cordovez, Voting Member: Internal Medicine, Nashville Medical Group Dr. William Edwards, Voting Member: Vascular Surgeon, The Surgical Clinic Dr. Douglas Pearce, Voting Member: Cardiology, Saint Thomas Heart Gordon Ferguson, Voting Member: CEO, Middle Tennessee Medical Center Dawn Rudolph, Voting Member: CEO, St. Thomas Hospital Bernie Sherry, Voting Member: CEO, Baptist Hospital Karen Springer, Voting Member: COO, Saint Thomas Health Dr. John Pirolo, Voting Member: Chief Informatics Officer, Saint Thomas Health Dr. James Garner, Voting Member: Internal Medicine, James W. Garner, M.D. Dr. Robert Taylor, Voting Member: Nephrology, Nephrology Associates, PC MSSP Public Reporting MissionPoint Health Partners ACO Committees & Key Leadership Personnel • • • • • • • • • Benchmark & Education/Remediation: Jennifer Meko, MD, Chair Network Participation: Jennifer Meko, MD, Chair Quality & Care Coordination Committee --Access/ED Avoidance: Jennifer Meko, MD, Chair Quality & Care Coordination Committee --Diabetes: Jennifer Meko, MD, Chair Quality & Care Coordination Committee –Respiratory-Asthma & COPD: Jennifer Meko, MD, Chair Quality & Care Coordination Committee --Behavioral Health: Jennifer Meko, MD, Chair Quality & Care Coordination Committee --Sepsis: Jennifer Meko, MD, Chair Quality & Care Coordination Committee --Cardiac—CHF & Chest Pain: Jennifer Meko, MD, Chair Quality & Care Coordination Committee --Preventive Care/Health Status: Jennifer Meko, MD, Chair • Quality & Care Coordination Committee --Musculoskeletal: Jennifer Meko, MD, Chair Aggregate Amount of Shared Savings/Losses • Performance Year 1 • Total Savings $9,221,645.07 • Earned Performance Payment: $4,518,606.08 • Performance Year 2: TBD • Performance Year 3: TBD How Shared Savings Are Distributed • Reinvest in Infrastructure: 15% • Distribution to ACO Participants: 85% • Primary Care: 30% • Specialists: 25% • Inpatient Facilities: 30% Updated May 2015 MSSP Public Reporting Quality Performance Results 2012 Performance Summary Statistics Performance Measure ACO Performance Rate Mean Performance Rate for all ACOs Risk Standardized, All Condition Readmissions (ACO-8) 15.76 15.42 ASC Admissions: COPD or Asthma in Older Adults (ACO-9) 1.30 1.13 ASC Admission: Heart Failure (ACO-10) 1.22 1.09 Percent of Primary Care Providers who Qualified for EHR Incentive Payment (ACO-11) 66.67 59.87 2013 Performance Summary Statistics Performance Measure ACO Performance Rate Mean Performance Rate for all ACOs Risk Standardized, All Condition Readmissions (ACO-8) 15.18 14.89 ASC Admissions: COPD or Asthma in Older Adults (ACO-9) 1.13 1.17 ASC Admission: Heart Failure (ACO-10) 1.31 1.21 Percent of Primary Care Providers who Qualified for EHR Incentive Payment (ACO-11) 66.43 66.21 • 2014 Performance Summary Statistics: TBD Updated May 2015
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