ACOs: Accountable Care Is Coordinated CareChicago Health System ACO, LLC.

750 Pasquinelli Drive, Suite 216
Westmont, IL 60559

ACO Primary Contact

Primary Contact Name Claire Heideman, Executive Director, Physician Network- Loyola Physician Partners
Primary Contact Phone Number 708-216-8224
Primary Contact Email Address claire.heideman@luhs.org
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Zinger Medical Offices  N
NOMC MacNeal Radiation Therapy Joint Venture, LLC  N
Premier Internal Medicine Group Sc  N
Northwest Health Care, Ltd  N
Macneal Physicians Group Llc  N
Christina Arellano  N
Cezary Kakol  N
I.Desai & R. Gokani, MD, SC  N
Hb Stone Ml Scheinman MD SC  N
Rafath Rasheed, MD  N
Allan O Muehrcke MD, SC  N
Peter E. Eupierre MD, SC  N
Primary Care Associates Ltd  N
Win Care Medical Consultants Ltd  N
PCC Community Wellness Center  N
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Shehzad Ali MDSC  N
Sabah A Khan  N
Ehtesham J.Ghani, MD, SC  N
Medrad Clinics, S.C.  N
Garcia Life Partners, LTD  N
Archer Family Medical Group, Llc  N
Christina Arellano MDSC  N
AAA Healthcare  N
VHS of Illinois, Inc  N
Dacia Medical Professional Corporation  N
Asian Village Medical Clinic Pc  N
Arellano MD, SC  N
Family Care Associates Of Chicago  N

ACO governing body:

 Member Name Title/Position Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Cleary, M.E. CEO  12.5 ACO Participant Representative  VHS of Illinois
Gershberg, Michael Physician 12.5 ACO Participant Representative Primary Care Associates
Jain, Shishir Physician  12.5 ACO Participant Representative I Desai & R Gokani
Rose, Clement Physician  12.5  ACO Participant Representative  Win Care Medical Consultants
Michel, Steve Physician & Board Chairman  12.5  ACO Participant Representative  MacNeal Physicians Group
Levy, David Physician  12.5  ACO Participant Representative  Archer Family Medical
Panton, Peter Physician  12.5  Community Stakeholder Panton Eye Center
Milford, Ron Beneficiary  12.5  Medicare Beneficiary   N/A
Heideman, Claire Executive Director  0  Other   N/A

Key ACO clinical and administrative leadership:

Claire Heideman ACO Executive
Steve Michel Medical Director
John Hart Compliance Officer
David Levy Quality Assurance/Improvement Officer

Associated committees and committee leadership:
N/A

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

  1. ACO professionals in a group practice arrangement
  2. Networks of individual practices of ACO professionals
  3. Partnerships or joint venture arrangements between hospitals and ACO professionals
  4. Hospital employing ACO professionals
  5. Federally Qualified Health Center (FQHC)

Shared Savings and Losses:

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2017, $2,417,430
    • Performance Year 2016, $3,657,367
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 50%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2016
      • Proportion invested in infrastructure: 50%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 50%
  • First Agreement Period
    • 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
    • Performance Year 2014
      • 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 2013
      • 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

2017 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 79.46 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.56 93.13
ACO-3 CAHPS: Patients' Rating of Provider 93.83 92.31
ACO-4 CAHPS: Access to Specialists 86.33 83.32
ACO-5 CAHPS: Health Promotion and Education 61.62 62.30
ACO-6 CAHPS: Shared Decision Making 75.76 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.98 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 31.51 25.68
ACO-8 Risk-Standardized, All Condition Readmission 15.34 15.01
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 19.39 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 55.55 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 82.67 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 69.54 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.28 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 81.45 75.32
ACO-13 Falls: Screening for Future Fall Risk 84.00 74.38
ACO-44 Imaging Studies for Low Back Pain 88.89 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 75.00 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 70.15 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 83.97 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.36 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 62.72 61.98
ACO-19 Colorectal Cancer Screening 70.24 64.58
ACO-20 Breast Cancer Screening 72.95 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.34 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.92 16.74
ACO-41 Diabetes: Eye Exam 60.08 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 76.82 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 82.02 86.86

 

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 “Chicago Health System ACO, LLC” or “CHS ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A12621 in the public use files on data.cms.gov.

Payment Rule Waivers

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