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, IN 46635
574-647-1266
chaaco@beaconhealthsystem.org

ACO Primary Contact

Diane Maas
dmaas@beaconhealthsystem.org
574-647-1266

Organizational Information

ACO Participants:

*No participants are involved in a joint venture between ACO professionals and hospitals

ACO Governing Body:

Key ACO Clinical and Administrative Leadership:

Associated Committees and Committee Leadership:

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

Shared Savings and Losses

Amount of Shared Savings/Losses

How Shared Savings are distributed:

Payment Rule Waivers

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

Quality Performance Results

Measure Number Measure Name 2015 Reporting Period - ACO Performance Report 2015 Reporting Period - Mean Performance Rate for All ACOs
ACO-1 CAHPS: Getting Timely Care, Appointments and Information 82.03 80.61
ACO-2 CAHPS: How Well Your Doctors Communicate 92.32 92.65
ACO-3 CAHPS: Patients’ Rating of Doctor 91.66 91.94
ACO-4 CAHPS: Access to Specialists 86.29 83.61
ACO-5 CAHPS: Health Promotion and Education 54.88 59.06
ACO-6 CAHPS: Shared Decision Making 74.99 75.17
ACO-7 CAHPS: Health Status/Functional Status 74.96 72.30
ACO-34 CAHPS: Stewardship of Patient Resources* 32.61 26.87
ACO-8 Risk Standardized, All Condition Readmissions 13.93 14.86
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)* Readmission 17.77 18.07
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes* 49.68 54.60
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure* 67.71 76.96
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 54.67 62.92
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 0.90 1.11
ACO-10 Ambulatory Sensitive Condition Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 1.05 1.04
ACO-11 Percent of Primary Care Physicians who Successfully Meet Meaningful Use Requirements 100.00% 76.22%
ACO-39 Documentation of Current Medications in the Medical Record* 88.31% 84.07%
ACO-13 Falls: Screening for Future Fall Risk 49.34% 56.46%
ACO-14 Preventive Care and Screening: Influenza Immunization 52.26% 62.03%
ACO-15 Pneumococcal Vaccination Status for Older Adults 74.43% 63.73%
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up 59.02% 71.15%
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 87.87% 90.16%
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 28.15% 45.25%
ACO-19 Colorectal Cancer Screening 54.28% 60.06%
ACO-20 Breast Cancer Screening 65.47% 65.67%
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 84.51% 70.04%
ACO-40 Depression Remission at Twelve Months* N/A N/A
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 18.79% 20.38%
ACO-41 Diabetes: Eye Exam 41.95% 41.05%
ACO-28 Hypertension: Controlling High Blood Pressure 63.47% 69.62%
ACO-30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 83.55% 83.82%
ACO-31 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 84.03% 87.22%
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%) 67.87% 77.73%

CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = Left Ventricular Systolic Dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

* = Measure required beginning Reporting Year 2015

N/A = Reporting on the depression remission measure is not required for 2015, as indicated by N/A

Measure number

Performance measure

2012 reporting period

2013 reporting period

2014 reporting period

ACO

performance rate

Mean performance rate for all ACOs

ACO

performance rate

Mean performance rate for all ACOs

ACO

performance rate

Mean performance rate for all ACOs

ACO#1

Getting Timely Care, Appointments and Information

Not in operations

 

Not in operations

 

83.99

80.13

ACO#2

How Well Your Doctors Communicate

Not in operations

 

Not in operations

 

92.68

92.39

ACO#3

Patients’ Rating of Doctor

Not in operations

 

Not in operations

 

91.54

91.58

ACO#4

Access to Specialists

Not in operations

 

Not in operations

 

87.61

83.97

ACO#5

Health Promotion and Education

Not in operations

 

Not in operations

 

54.05

58.29

ACO#6

Shared Decision Making

Not in operations

 

Not in operations

 

74.58

74.60

ACO#7

Health Status/Functional Status

Not in operations

 

Not in operations

 

74.26

71.10

ACO#8

Risk Standardized, All Condition Readmissions

Not in operations

 

Not in operations

 

14.59

15.15

ACO#9

ASC Admissions: COPD or Asthma in Older Adults

Not in operations

 

Not in operations

 

1.17

1.08

ACO#10

ASC Admissions: Heart Failure

Not in operations

 

Not in operations

 

1.34

1.19

ACO#11

Percent of PCPs who Qualified for EHR Incentive Payment

Not in operations

 

Not in operations

 

81.82

76.71

ACO#12

Medication Reconciliation

Not in operations

 

Not in operations

 

65.13

82.61

ACO#13

Falls: Screening for Falls Risk

Not in operations

 

Not in operations

 

16.27

45.60

ACO#14

Influenza Immunization

Not in operations

 

Not in operations

 

43.50

57.51

ACO#15

Pneumococcal Vaccination

Not in operations

 

Not in operations

 

30.71

55.03

ACO#16

Adult Weight Screening and Follow-up

Not in operations

 

Not in operations

 

39.69

66.75

ACO#17

Tobacco Use Assessment and Cessation Intervention

Not in operations

 

Not in operations

 

89.19

86.79

ACO#18

Depression Screening

Not in operations

 

Not in operations

 

0.95

39.27

ACO#19

Colorectal Cancer Screening

Not in operations

 

Not in operations

 

48.46

56.14

ACO#20

Mammography Screening

Not in operations

 

Not in operations

 

62.75

61.41

ACO#21

Adults who had blood pressure screened in past 2 years

Not in operations

 

Not in operations

 

36.71

60.24

ACO#22

Hemoglobin A1c Control (<8 percent)

Not in operations

 

Not in operations

 

71.01

Not available

ACO#23

Low Density Lipoprotein (LDL) (<100 mg/dL)

Not in operations

 

Not in operations

 

54.59

Not available

ACO#24

Blood Pressure (BP)< 140/90

No