ACO ame and Location Ascension Care Management Health Partners Indianapolis, LLC Previous Legal Business Entity ame: MissionPoint Indianapolis, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary Contact Primary Contact ame John Bailey Primary Contact Phone umber (615) 761-3854 Primary Contact Email Address john.bailey@ascension.org Organizational Information ACO participants: ACO Participants St. Vincent Salem Hospital, Inc. St. Vincent Dunn Hospital, Inc. St Vincent Williamsport Hospital St. Vincent Hospital &, Inc. St. Vincent Madison County Health System, Inc. St. Joseph Hospital and Health Center, Inc. St. Vincent Seton Specialty Hospital, Inc. St. Vincent Jennings Hospital, Inc. St Vincent Pediatric Subspecialties Services Hospital And Health Care Center St. Vincent Randolph Hospital, Inc. ACO Participant in Joint Venture (Enter Y or )
St. Vincent Clay Hospital, Inc. St. Vincent Heart Center of Indiana, LLC St. Vincent Fishers Hospital, Inc. St. Vincent Anderson Regional Hospital, Inc. St. Joseph Primary Care, LLC St. Vincent Carmel Hospital, Inc. ACO governing body: Last ame First ame Title/Position 's Voting Power ship Type Jones Janet Chairperson 1 Community Stakeholder Adkins Rebecca Voting Alsatie Mazen Voting Emmons Michael Voting Fogel Richard Voting Harmon Cheryl Voting Mcabb Brad Voting Moon Amy Voting ACO Participant TI Legal Business ame/dba, if Applicable /A Schleeter Thomas Voting
Shoemaker Aaron Voting Small Shayne Voting Swinney Steve Voting Kutschera Bill Voting 1 Medicare Beneficiary /A Key ACO clinical and administrative leadership: Rachel Raymond ACO Executive Michael Emmons, DO Medical Director Becky Lovelace Compliance Officer Steve Swinney, MD Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee ame etwork Participation, Benchmark Education and Remediation Committee Quality & Care Cooridnation Committee Diabetes Mellitus Quality & Care Cooridnation Committee Preventive Care/Health Status Committee Leader ame and Position Aaron Shoemaker, MD, Chairperson Shahid Athar, MD, Chairperson Steve Swinney, MD, Chairperson Types of ACO participants, or combinations of participants, that formed the ACO: Hospital employing ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2016, $0 o Performance Year 2015, $0 Shared Savings Distribution First Agreement Period o Performance Year 2016
Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A o Performance Year 2015 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: ACO# Measure ame Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information 78.93 80.51 2 CAHPS: How Well Your Providers Communicate 93.22 93.01 3 CAHPS: Patients Rating of Provider 92.66 92.25 4 CAHPS: Access to Specialists 84.51 83.49 5 CAHPS: Health Promotion and Education 59.38 60.32 6 CAHPS: Shared Decision Making 77.56 75.40 7 CAHPS: Health Status/Functional Status 73.46 72.30 34 CAHPS: Stewardship of Patient Resources 29.74 26.97 8 Risk Standardized, All Condition Readmission 13.31 14.70 35 36 37 Skilled ursing Facility 30-day All-Cause Readmission measure (SFRM) 15.83 18.17 All-Cause Unplanned Admissions for Patients with Diabetes 43.46 53.20 All-Cause Unplanned Admissions for Patients with Heart Failure 60.34 75.23 38 9 10 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions Ambulatory Sensitive Condition 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) 50.87 59.81 6.40 9.27 13.87 14.53 Percent of PCPs who Successfully Meet Meaningful Use Requirements 100.00 82.72
11 39 13 14 15 Documentation of Current Medications in the Medical Record 95.18 87.54 Falls: Screening for Future Fall Risk 49.83 64.04 Preventive Care and Screening: Influenza Immunization 67.57 68.32 Pneumonia Vaccination Status for Older Adults 73.83 69.21 16 17 18 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 74.80 74.45 46.48 90.98 32.66 53.63 19 20 Colorectal Cancer Screening 53.91 61.52 Breast Cancer Screening 67.46 67.61 21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 73.26 76.79 42 27 41 28 30 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 85.05 77.72 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.92 18.24 Diabetes: Eye Exam 45.42 44.94 Hypertension (HT): Controlling High Blood Pressure 73.07 70.69 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 80.04 85.05 31 33 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%) 95.74 88.67 87.50 79.67 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: https://data.cms.gov/special-programs- Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care- O/3jk5-q6dr/data For 2015 Quality Performance Results please visit: https://data.cms.gov/special-programs- Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8vaz7cu/data ote: In the Quality Performance Results file(s) above, search for Ascension Care Management Health Partners Indianapolis, LLC to view the quality performance results. This ACO can also be found by using the ACO ID A75625 in the public use files on data.cms.gov. Payment Rule Waivers o, our ACO does not use the SF 3-Day Rule Waiver.