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Public Report

  • Public Report

    • Public Report


    ACO Name and Location

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

    ACO Primary Contact

    Renea Hartsock, ACO Executive
    Hartsock.Renea@mhsil.com
    217-876-2855

    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. Charles Ellington, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    7. Dr. William Franklin, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    8. Dr. Jeffrey Trachtenberg, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    9. Dr. Amber Anderson, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    10. Mr. Drew Early, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    11. 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. Population Health/Quality Assurance Committee: Dr. John Bradley, Chair
    2. Membership & Network Development Committee: Dr. Anthony McCormack, Chair
    3. Consumer Engagement Committee: Dr. Michael Zia, Chair
    4. Information Technology Committee: Dr. Madhu Jyothinagaram, Chair
    5. Financial Management and Contracting Committee: Dr Jeffrey Trachtenberg, Chairman

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

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

    Shared Savings and Losses

    Amount of Shared Savings/Losses

    • First Agreement Period
      • Performance Year 2018, $0

    Shared Savings Distribution

    • First agreement period
      • Performance Year 2018
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources: N/A
        • Proportion of distribution to ACO participants: N/A

    Payment Role Waivers

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

    Quality Performance Results

    2018 Quality Performance Results:

    ACO#       Measure Name Rate ACO Mean
    ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.43 86.14
    ACO-2 CAHPS: How Well Your Providers Communicate 93.68 93.93
    ACO-3 CAHPS: Patients’ Rating of Provider 91.62 92.45
    ACO-4 CAHPS: Access to Specialists 85.58 81.50
    ACO-5 CAHPS: Health Promotion and Education 61.24 59.26
    ACO-6 CAHPS: Shared Decision Making 60.73 61.94
    ACO-7 CAHPS: Health Status/Functional Status 73.97 73.35
    ACO-34 CAHPS: Stewardship of Patient Resources 29.30 26.26
    ACO-8 Risk Standardized, All Condition Readmission 14.96 14.98
    ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.30 18.59
    ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 34.95 37.01
    ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 70.32 76.75
    ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 51.45 59.00
    ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.26 1.98
    ACO-11 Use of Certified EHR Technology 99.09 98.20
    ACO-12 Medication Reconciliation Post-Discharge 98.56 85.91
    ACO-13 Falls: Screening for Future Fall Risk 85.04 79.73
    ACO-44 Use of Imaging Studies for Low Back Pain 62.50 64.36
    ACO-14 Preventive Care and Screening: Influenza Immunization 81.12 72.71
    ACO-15 Pneumonia Vaccination Status for Older Adults 72.57 75.97
    ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 73.73 76.83
    ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.14 72.81
    ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 86.96 66.74
    ACO-19 Colorectal Cancer Screening 96.89 68.27
    ACO-20 Breast Cancer Screening 92.31 71.96
    ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.27 81.47
    ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.94 15.51
    ACO-41 Diabetes: Eye Exam 34.26 52.42
    ACO-28 Hypertension (HTN): Controlling High Blood Pressure 65.81 73.10
    ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 93.40 88.92

     

    Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

    Note: In the Quality Performance Results file(s) above, search for “DMH Health Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3795 in the public use files on data.cms.gov.

    Payment Rule Waivers

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