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
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 Y
University Hospitals Conneaut Medical Center N
EMH Regional Medical Center N
University Hospitals Geauga Medical Center Y
The Parma Community General Hospital Association 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. N
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 Hospitals Medical Group, Inc.

University Primary Care Practices, Inc.
Beck Eric President
UH Ventures/ Director
1 ACO
partici-
pant
represen-
tative
University Hospitals Home Care Services, Inc.
Hanson Richard President Community Hospitals – West / Director 1 ACO
partici-
pant
represen-
tative
University Hospitals Samaritan Medical Center

University Hospitals Elyria Medical Center

University Hospitals Parma Medical Center
Harwell Carla Director 1 ACO
partici-
pant
represen-
tative
University Primary Care Practices, Inc.
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.
Monheim Karen Director 1 ACO
partici-
pant
represen-
tative
University Primary Care Practices, Inc.
Monter Brian Director 1 ACO
partici-
pant
represen-
tative
UH Regional Hospitals
Topalsky George Vice President, Primary Care Institute / Director 1 ACO
partici-
pant
represen-
tative
University Primary Care Practices, Inc.
Zelis Cindy Vice President Ambulatory Operations / 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
Plush Mark Medicare Beneficiary Repre-
sentative / Director
1 Medicare
benefi-
ciary
repre-
sentative
Key ACO clinical and administrative leadership:
Name Title
Bradley Hillard ACO Executive
Bradley Hillard Medical Director
Kim Bixenstine 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 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 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

2017 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.41 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 91.81 93.13
ACO-3 CAHPS: Patients' Rating of Provider 92.05 92.31
ACO-4 CAHPS: Access to Specialists 83.22 83.32
ACO-5 CAHPS: Health Promotion and Education 57.95 62.30
ACO-6 CAHPS: Shared Decision Making 75.15 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.12 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 22.59 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.72 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.62 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 61.14 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 89.81 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 69.55 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.31 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 40.89 75.32
ACO-13 Falls: Screening for Future Fall Risk 74.34 74.38
ACO-44 Imaging Studies for Low Back Pain 70.30 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 62.87 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 60.35 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 50.45 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.90 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 41.69 61.98
ACO-19 Colorectal Cancer Screening 60.47 64.58
ACO-20 Breast Cancer Screening 67.92 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.70 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 17.99 16.74
ACO-41 Diabetes: Eye Exam 36.59 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 65.58 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.28 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 “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.