UH Coordinated Care Organization

ACO Name and Location

University Hospitals Coordinated Care
Previous Names: N/A
3605 Warrensville Center Road
M/S MSC9214
Shaker Heights, OH 44122

ACO Primary Contact

Mark E. Schario
216-286-9159
Mark.Schario@UHhospitals.org

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture
North Ohio Heart, Inc. Y
University Primary Care Practices, Inc. Y
ACO governing body:
Member Member’s Voting Power – Ex-
pressed as a percent-
age or number
Member-
ship
Type
ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/
Position
Szubski Michael Chief
Financial
& System Services Officer/
Board Chair & Director
1 ACO
partici-
pant
represen-
tative
University Primary Care Practices, Inc.
Annable Cathy Medicare Beneficiary Repre-
sentative / Director
1 Medicare
benefi-
ciary
repre-
sentative
Beck Eric President
UH Ventures/ Director
0 Non-
voting
Comm-
unity
Stake-
holder
 
Hertz Andrew Vice President Rainbow Primary Care Institute/ Director 1 ACO
partici-
pant
represen-
tative
University Primary Care Practices, Inc.
Hoynes Sean Director 1 ACO
partici-
pant
represen-
tative
University Primary Care Practices, Inc.
Megerian Cliff President,
University
Hospitals
Health System
1 ACO
partici-
pant
represen-
tative
University Primary Care Practices, Inc.
Monheim Karen Director 1 ACO
partici-
pant
represen-
tative
University Hospitals Primary Care Practices, Inc.
Monter Brian Director 0 Non-
voting
Comm-
unity
Stake-
holder
 
Pronovost Peter Chief
Clinical
Transformation
Officer/
Board Chair & Director
1 ACO
partici-
pant
represen-
tative
University Hospitals Primary Care Practices, Inc.
Plush Mark Medicare Beneficiary Repre-
sentative / Director
1 Medicare
benefi-
ciary
repre-
sentative
Ravichandran Kamaleswary Director 1 ACO
partici-
pant
represen-
tative
North Ohio Heart, Inc.
Tait Paul Chief
Strategic
Officer
1 ACO
partici-
pant
represen-
tative
University Hospitals Primary Care Practices, Inc.
Topalsky George Vice President, Primary Care Institute / Director 1 ACO
partici-
pant
represen-
tative
University Primary Care Practices, Inc.
Key ACO clinical and administrative leadership:
Name Title
Mark Schario ACO Executive
George Topalsky Medical Director
Valda C. Christian Compliance Officer
Mark Schario Quality Assurance/Improvement Officer
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Finance & Operations Committee Michael Szubski, Board Chair
Quality & Care Optimization Committee Michael Szubski, Board Chair
Patient Engagement Committee Michael Szubski, 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 2018, $0
    • Performance Year 2017, $0
    • 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 2018
      • 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 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: 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

2018 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 85.80 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.97 93.93
ACO-3 CAHPS: Patients' Rating of Provider 93.01 92.45
ACO-4 CAHPS: Access to Specialists 79.19 81.50
ACO-5 CAHPS: Health Promotion and Education 57.91 59.26
ACO-6 CAHPS: Shared Decision Making 62.31 61.94
ACO-7 CAHPS: Health Status/Functional Status 72.49 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 24.82 26.26
ACO-8 Risk Standardized, All Condition Readmission 15.11 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.83 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 40.84 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 82.10 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 65.77 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.22 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation 83.70 85.91
ACO-13 Falls: Screening for Future Fall Risk 60.00 79.73
ACO-44 Imaging Studies for Low Back Pain 59.77 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 54.29 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 67.73 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 72.66 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 69.70 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 36.55 66.74
ACO-19 Colorectal Cancer Screening 55.60 68.27
ACO-20 Breast Cancer Screening 71.99 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.82 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 18.07 15.51
ACO-41 Diabetes: Eye Exam 51.81 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 65.32 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 79.84 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 “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 A1262 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.
  • No, our ACO clinicians does not provide Telehealth Services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.
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