Presence Health

ACO Name and Location

Medicare Value Partners
Previous Names: N/A
2380 Dempster Avenue
Des Plaines, IL 60016

 

ACO Primary Contact

Primary Contact Name

David Hurter

Primary Contact Phone Number

847-493-4726

Primary Contact Email Address

David.Hurter@amitahealth.org

 

ACO Participants

ACO Participant in Joint Venture

Dmitry Sukenik MD

N

Hari Gadde

N

Purshotam Sawlani

N

Amishi Sawlani

N

S. Fatima, MD, SC

N

Maimoona Aijaz, M.D., S.C.

N

Clinical Associates in Medicine LLC

N

S Gutierrez Iii Sc

N

Internal Medicine Specialists of Kankakee SC

N

Optimum Kidney Care, SC

N

Rogers Medical LTD

N

Family Health Center of Plainfield

N

SPS Family Care, S.C.

N

Digestive Health Consultants SC

N

Sun Clinic LLC

N

Alliance Internal Medicine SC

N

Specialty Healthcare Services, Ltd.

N

ALL FOR WOMEN HEALTHCARE SC

N

Olga Saavedra

N

Agha Medical Inc

N

Judy Joseph

N

Gersten & Associates

N

Estefan Roy

N

Philip Maskall, MD

N

Eva Chomka

N

Sylvia Moscoso

N

Chris O. Costas, M.D., S.C.

N

Chris Costas

N

Muhammad Ali

N

Saints Mary And Elizabeth Medical Center

N

Presence Chicago Hospitals Network

N

Nora Medical Group, S.C.

N

Nuclear Oncology SC

N

Presence Behavioral Health

N

Associated Ophthalmologists SC

N

Womens Health Associates LTD

N

Lawrence E Gluskin, Md Sc

N

Kidney Specialists of Kankakee Ltd

N

Health Care Delivery Systems

N

Commonwealth Medical Physician Group Sc

N

Resurrection Home Health Services

N

Robert O Graham Mdsc

N

NORTHWEST ORTHOPAEDIC ASSOCIATES LTD

N

Alia Siddiqi MD, SC

N

Caneva Foot & Ankle Clinic, Ltd.

N

Vijay H Vohra MD SC

N

Kishor Ajmere M.D. LTD

N

Medical Associates of Kankakee, S.C.

N

S. Shuber Md Sc

N

Skowron Dougal Mcclellan And Sullivan Eye Associates Sc

N

Dev Medical Associates SC

N

Madamba Medical Associates Sc

N

MISBAH UDDIN AHMED MD SC

N

Rodrigo F Endara Md Pc

N

Primary Care Providers of Chicago SC

N

Saint Joseph Hospital

N

Zenaida E. Racho, MD

N

Rainbow Hospice and Palliative Care

N

North Shore Cardiology Consultants

N

Resurrection Hospital

N

Presence Healthcare Services

N

Colette Gordon, MD

N

Seth Tanenbaum, MD

N

Uday I Vyas Md Sc

N

Brian P. Olofsson MD

N

Lakeshore Infectious Disease Associates Ltd.

N

Tyco Medical Clinic Ltd

N

Dr. Jeffrey J Betman Podiatric Physician and Surgeon pc

N

Cdn Surgical Assoc., Ltd.

N

Eye Physicians&surgeons Of Chicago,s.C.

N

PrimeCare Community Health, Inc.

N

Mark A. Kijek MD

N

MICHAEL M MAGHRABI DPM PC

N

Primary Care Medical Associates, Ltd

N

Renuka H. Bhatt MD SC

N

Chicago Ophthalmology, PC

N

Dercy J Aranador, MD

N

Augusta Damen Medical Center Ltd

N

Suresh H. Wadhwani MD SC

N

Midwest Neurological Associates LTD

N

Presence Central And Suburban Hospitals Network

N

Ada I. Arias MD SC

N

Marcos A. Lopez MD SC

N

Simon Wu MD

N

Presence Ambulatory Services

N

CHICAGO RETINA INCORPORATED

N

Advanced Skin and Mohs Surgery Center SC

N

Roque-Ponton Medical Group, S.C.

N

Joliet Diabetes & Endocrinology Associates Inc

N

Janneth M. Jaramillo, MD

N

Family Care Associates LTD

N

LOTUS EYECARE INC

N

Fidai Medical Group

N

Omni Health, PC

N

Rakhshanda M Munir Sc

N

Syeda H Zahedi Sc

N

Parkwest Family Physicians, S.C.

N

Chicago Surgical Clinic, LTD

N

Chicago Womens Health Ltd

N

Digestive Disease Clinic Of Joliet Ltd

N

St. Mary Internal Medicine Associates SC

N

Freedom Family Practice

N

Suburban Sleep and Pulmonary Medicine

N

Skokie Foot & Ankle Specialists Ltd

N

Geriatric Professional Services Sc

N

Satyendra Kumar Humad Md Sc

N

Presence Home Care

N

Giovanni D Giannotti Md Sc

N

Joanna Stankiewicz M.D. S.C.

N

PRIME UROLOGY LTD

N

Neel French MD SC

N

North Branch Dermatology LLC

N

Yigazu Wellness Clinic

N

Rodrigue Tinfang MD Family Health Ltd

N

Sanjay Pethkar, M.D., S.C.

N

Rogers Park Family Medicine

N

Otilio N Melero, MD

N

Joseph B Pigato MD LTD

N

Endo Med Clinic SC

N

Heart Team ,Llc

N

Midwest Surgery and Oncology Consultants LLC

N

Kidney and Hypertension Consultants S.C.

N

Northwest Medical Associates of Chicago, Inc.

N

Tallgrass Cardiology Services, SC

N

Organizational Information

 

ACO governing body:

Member

Member's Voting Power – Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Shah      

Mehul

MD/ Chair

1

ACO Participant Representative

Primary Care Providers of Chicago SC

Brown

Matt

MD

1

ACO Participant Representative

Resurrection Hospital

Clancy

James

MD

1

ACO Participant Representative

Rogers Park Family Medicine

Gilbert

Dana

Chief Executive Officer, Presence Health Partners

1

Other

 

Gomez

Carlos

MD

1

ACO Participant Representative

Family Care Associates LTD

Hurter

David

President – Medicare Value Partners

1

Other

 

Kerstan

Peter

MD

1

ACO Participant Representative

Presence Healthcare Services

Maks

Jonathan

MD

1

ACO Participant Representative

Presence Healthcare Services

Mendyk

Kathy

 

1

Medicare Beneficiary Representative

 

Roque

David

MD

1

ACO Participant Representative

Roque- Ponton Medical Group SC

Key ACO clinical and administrative leadership:

Dana Gilbert

ACO Executive

Luke Hansen

Medical Director

Elizabeth Contant

Compliance Officer

Trenille Brewer Moore

Compliance Officer

Ronald Austin

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Quality Improvement Committee

Luke Hansen, MD, Chair

Contracting, Finance, and Compensation Committee

David Roque, MD, Chair

 

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $6,038,561
  • 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: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2016
      • Proportion invested in infrastructure: 5%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 90%
  • 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

83.33

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.87

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

93.50

92.31

ACO-4

CAHPS: Access to Specialists

87.08

83.32

ACO-5

CAHPS: Health Promotion and Education

62.57

62.30

ACO-6

CAHPS: Shared Decision Making

74.50

75.85

ACO-7

CAHPS: Health Status/Functional Status

73.90

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

25.94

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.15

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

20.45

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

61.77

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

89.41

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

71.80

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

2.19

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

52.75

75.32

ACO-13

Falls: Screening for Future Fall Risk

73.48

74.38

ACO-44

Imaging Studies for Low Back Pain

67.47

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

73.42

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

64.55

72.92

ACO-16

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

74.83

70.69

ACO-17

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

80.79

90.48

ACO-18

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

52.55

61.98

ACO-19

Colorectal Cancer Screening

47.53

64.58

ACO-20

Breast Cancer Screening

66.67

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83.33

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

22.58

16.74

ACO-41

Diabetes: Eye Exam

32.66

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

73.99

71.47

ACO-30

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

85.20

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 “Medicare Value Partners” or “Medicare Value Partners” to view the quality performance results. This ACO can also be found by using the ACO ID A33458 in the public use files on data.cms.gov.

Payment Rule Waivers

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