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Public Report

ACO Name and Location

DMH Health Network
2300 N. Edward St.
Decatur, IL 62526

ACO Primary Contact

Renea Hartsock, ACO Executive

ACO Participants

  1. Decatur Memorial Hospital
  2. Millennium Pain Center, LLC
  3. Center for Sight of Central IL I SC
  4. Decatur Radiology Physicians
  5. Gregory L Totel MD SC
  6. Marshall F Brustein MD
  7. Michael E Clark DPM
  8. Midwest Neurology Associates SC
  9. Nehemiah Tan MD SC
  10. Prairie Eye Center LTD
  11. Raycraft and Jones LLC
  12. Vita Center for Women LLC
  13. Women’s Health Care Specialists of Decatur LLC
  14. Samuel E Potts DPM
  15. Internal Medicine Subspecialty Associates LTD
  16. Debra Jackson
  17. Drs Graham & Graham LTD
  18. Surgical Specialists of Central Illinois SC
  19. Midwest Internal Medicine SC

ACO Participants in joint venture between ACO professionals and hospitals
Not applicable

ACO Governing Body

  1. Dr. Michael Wall, Chairman, ACO Participant Representative, Decatur Memorial Hospital
  2. Dr. Monika Moni, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
  3. Dr. Roberto Pabalate, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
  4. Dr. Ted Clark, Midwest Emergency Department Specialists, Ltd., d/b/a Mid-America Emergency Physicians
  5. Dr. Madhu Jyothinagaram, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
  6. Dr. William Franklin, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
  7. Dr. Jeffrey Trachtenberg, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
  8. Dr. Amber Anderson, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
  9. Mr. Drew Early, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
  10. Dr. Michael Zia, Voting Member, Medicare Beneficiary Representative

Key ACO clinical and administrative leadership

  1. Account Executive: Renea Hartsock
  2. Medical Director: John Bradley, MD
  3. Compliance Officer: Renea Hartsock
  4. Quality Assurance/Improvement Officer: Sarah Roberts, PhD

Associated committees and committee leadership

  1. Membership & Network Development Committee: Dr. John Bradley, Chair
  2. Consumer Engagement Committee: Dr. Michael Zia, Chair
  3. Financial Management and Contracting Committee: Dr Jeffrey Trachtenberg, Chairman
  4. Population Health/Quality Assurance Committee: Dr. John Bradley, Chair
  5. Information Technology and Data Sharing Committee: Dr. Madhu Jyothinagaram, Chair

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

  1. Hospital employing ACO professionals
  2. Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second agreement period
    • Performance Year 2019, $0

Shared Savings Distribution

  • Second Agreement Period
    •  Performance Year 2019
      • 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

2019 Quality Performance Results:

ACO#       Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.41 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 92.46 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 91.35 92.69
ACO-4 CAHPS: Access to Specialists 84.57 81.54
ACO-5 CAHPS: Health Promotion and Education 62.38 60.44
ACO-6 CAHPS: Shared Decision Making 61.37 62.78
ACO-7 CAHPS: Health Status/Functional Status 74.81 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 23.42 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 92.73 92.84
ACO-46 CAHPS: Care Coordination 86.06 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.28 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 49.66 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.91 1.95
ACO-13 Falls: Screening for Future Fall Risk 95.31 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 86.63 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.06 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 99.69 70.40
ACO-19 Colorectal Cancer Screening 71.20 70.76
ACO-20 Breast Cancer Screening 73.26 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 92.39 82.17
ACO-40 Depression Remission at Twelve Months 89.58 13.58
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 9.65 13.55
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 73.79 75.04

For Previous Year’s Financial and Quality Performance Results, please visit

Payment Role Waivers

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


Beneficiary Incentive Program

  • No, our ACO does not participate in this program.