CHA ACO
Community Health Alliance

CHA ACO, LLC

In January of 2014, CHA ACO, LLC was named an Accountable Care Organization (ACO) and began participating in the Medicare Shared Savings Program offered by the Centers for Medicare and Medicaid Services (CMS).

Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare Fee-for-Service beneficiaries. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.

When an ACO succeeds in both delivering high-quality care and spending healthcare dollars more wisely, it will share in the savings it achieves for the Medicare Shared Savings Program.

ACO Name and Location

CHA ACO, LLC
53842 Generations Drive
South Bend, Indiana 46635

ACO Primary Contact

Primary Contact Name

Diane Maas

Primary Contact Phone Number

574-647-1266

Primary Contact Email Address

dmaas@beaconhealthsystem.org

Organizational Information

ACO Participants:

 

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Beacon Health Ventures Michigan, Inc.

N

Memorial Hospital of South Bend,Inc

N

South Bend Medical Foundation, Inc

N

Elkhart General Hospital, Inc

N

Beacon Medical Group, Inc.

N

Family Medicine Of South Bend PC

N

Beacon Health Ventures Inc

N

 

ACO Governing Body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Nelson, M.D.

Ronald

Chairman

1

ACO participant representative

Beacon Medical Group

O’Neil

Michael

Vice Chairman

1

ACO participant representative

Beacon Health Ventures

Henderson, M.D.

Vincent

Secretary

1

ACO participant representative

Beacon Medical Group

Costello

Jeffrey

Treasurer

1

ACO participant representative

Memorial Hospital of South Bend

Schmeltz, D.O.

Mark

Voting Member

1

ACO participant representative

Beacon Medical Group

Hall, M.D.

Christopher

Voting Member

1

ACO participant representative

Beacon Medical Group

Eshowsky, M.D.

Scott

Voting Member

1

ACO participant representative

Beacon Medical Group

Soper

George

Voting Member

1

Medicare beneficiary representative

 

Brown, M.D.

Sandra

Voting Member

1

Community stakeholder representative

 

Key ACO Clinical and Administrative Leadership:

Diane Maas

ACO Executive

Michelle Howe

Medical Director

Warren Mattson

Compliance Officer

Daniel Parker

Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Finance and Contracting Committee

Jeff Costello, Chair

Utilization / Quality Committee

Ngan Van, M.D., Chair

Types of ACO participants, or Combinations of Participants, that formed the ACO:

Shared Savings and Losses

Amount of Shared Savings/Losses

 

Shared Savings Distribution

 

Quality Performance Results

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

78.4

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

92.27

92.63

ACO-3

CAHPS: Patients' Rating of Provider

91.39

91.93

ACO-4

CAHPS: Access to Specialists

80.6

83.52

ACO-5

CAHPS: Health Promotion and Education

57.94

60

ACO-6

CAHPS: Shared Decision Making

75.88

75.28

ACO-7

CAHPS: Health Status/Functional Status

73.06

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

28.43

27.52

ACO-8

Risk-Standardized, All Condition Readmission

13.56

14.7

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

16.28

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

43.62

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

58.92

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

47.8

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

8.44

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

13.67

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

100

82.72

ACO-39

Documentation of Current Medications in the Medical Record

89.67

87.54

ACO-13

Falls: Screening for Future Fall Risk

51.47

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

68.33

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

74.59

69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

47.88

74.45

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

85.99

90.98

ACO-18

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

46.91

53.63

ACO-19

Colorectal Cancer Screening

48.66

61.52

ACO-20

Breast Cancer Screening

61.84

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

75.9

76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

78.66

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

16.95

18.24

ACO-41

Diabetes: Eye Exam  

45.42

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

63.37

70.52

ACO-30

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

81.98

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

77.05

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

68.05

79.67

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 “CHA ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A47465 in the public use files on data.cms.gov.

 

Payment Rule Waivers