UH Coordinated Care Organization

ACO Name and Location

University Hospitals Coordinated Care
3605 Warrensville Center Road
M/S MSC9214
Shaker Heights, Ohio 44122

ACO Primary Contact

Primary Contact Name Nathan T. Hunt
Primary Contact Phone Number 216-767-8727
Primary Contact Email Address

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture
University Hospitals Medical Group, Inc. N
University Hospitals Ahuja Medical Center, Inc. N
North Ohio Heart, Inc. N
University Hospitals Geneva Medical Center N
Samaritan Regional Health System (University Hospitals Samaritan Medical Center) Y
University Hospitals Conneaut Medical Center N
EMH Regional Medical Center (University Hospitals Elyria Medical Center) N
University Hospitals Geauga Medical Center Y
The Parma Community General Hospital Association (University Hospitals Parma Medical Center) N
University Hospitals Home Care Services, Inc. N
University Hospitals Cleveland Medical Center Y
Southwest General Medical Group, Inc. N
Westshore Primary Care Associates, Inc. N
University Hospitals Laboratory Services Foundation N
University Primary Care Practices, Inc. N
UH Regional Hospitals N
Robinson Health System Inc (University Hospitals Portage Medical Center) 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
Tait Paul Chief Strategic Planning Officer / Board Chair & Director 1 ACO participant representative University Hospitals Parma Medical Center

University Hospitals Elyria Medical Center
Peters Jeffrey Chief Operating Officer / Board Vice Chair & Director 1 ACO participant representative University Hospitals Medical Group, Inc.

University Primary Care Practices, Inc.
Hanson Richard President Homecare Services / Director 1 ACO participant representative University Hospitals Ahuja Medical Center, Inc.

University Hospitals Geneva Medical Center

Univerity Hospitals Samaritan Medical Center

University Hospitals Conneaut Medical Center

University Hospitals Elyria Medical Center

University Hospitals Geauga Medical Center

University Hospitals Parma Medical Center

University Hospitals Cleveland Medical Center

UH Regional Hospitals

University Hospitals Portage Medical Center
Hoynes Sean Director 1 ACO participant representative University Primary Care Practices, Inc.
Monheim Karen Director 1 ACO participant representative University Primary Care Practices, Inc.
Maitland Keith President Community Hospitals and Ambulatory Services / Director 1 ACO participant representative University Hospitals Home Care Services, Inc.
Ros Pablo Chairman, Department of Radiology / Director 1 ACO participant representative University Hospitals Medical Group, Inc.
Topalsky George Vice President, Primary Care Institute / Director 1 ACO participant representative University Primary Care Practices, Inc.
Harwell Carla Director 1 ACO participant representative University Primary Care Practices, Inc.
Annable Cathy Medicare Benefiary Representative / Director 1 Medicare beneficiary representative
Ranney Ann Medicare Benefiary Representative / Director 1 Medicare beneficiary representative
Plush Mark Medicare Benefiary Representative / Director 1 Medicare beneficiary representative

Key ACO Clinical and Administrative Leadership

William Steiner II, M.D., Ph.D. ACO Executive
William Steiner II, M.D., Ph.D. Medical Director
Kim Bixenstine Compliance Officer
Elizabeth R. Hammack, Esq. Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Finance & Operations Committee Paul Tait, Board Chair
Quality & Care Optimization Committee Paul Tait, Board Chair
Patient Engagement Committee Paul Tait, Board Chair

Types of ACO Participants, or Combinations of Participants, that Formed the ACO

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $5,584,001
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: 32%
      • Proportion invested in redesigned care processes/resources: 18%
      • Proportion of distribution to ACO participants: 50%
    • 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

2016 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 77.12 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 94 92.63
ACO-3 CAHPS: Patients’ Rating of Provider 92.84 91.93
ACO-4 CAHPS: Access to Specialists 84.64 83.52
ACO-5 CAHPS: Health Promotion and Education 57.89 60
ACO-6 CAHPS: Shared Decision Making 75.34 75.28
ACO-7 CAHPS: Health Status/Functional Status 73.37 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 28.4 27.52
ACO-8 Risk-Standardized, All Condition Readmission 15.35 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 19.93 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 57.37 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 80.61 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 63.02 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 10.26 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 14.96 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 99.6 82.72
ACO-39 Documentation of Current Medications in the Medical Record 73.94 87.54
ACO-13 Falls: Screening for Future Fall Risk 47.44 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 69.15 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 65.99 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 50.17 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.22 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 23.57 53.63
ACO-19 Colorectal Cancer Screening 59.59 61.52
ACO-20 Breast Cancer Screening 57.71 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 65.23 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.64 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.79 18.24
ACO-41 Diabetes: Eye Exam 35.52 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 66.43 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 87.99 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 86.98 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%) 88.44 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 “University Hospitals Coordinated Care” or "University Hospitals Coordinated Care Organization" to view the quality performance results. This ACO can also be found by using the ACO ID A09762 in the public use files on data.cms.gov.

Payment Rule Waivers

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

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