ACO Name and Location

McLaren High Performance Network, LLC
2701 Cambridge Court Suite 200
Auburn Hills, Michigan 48326

Public Reporting in 2017

ACO Primary Contact

Primary Contact Name

Scott Johnson

Primary Contact Phone Number

800-822-4950

Primary Contact Email Address

scott.johnson@mclaren.org

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Michael Swords Do Pllc

Y

Thomas C Hosey Dpm & Associates Pc

Y

Barbara Ann Karmanos Cancer Hospital

Y

Brenda Rogers-Grays, DO, PC

Y

J Wesley Mesko Md Pc

Y

Charles J Taunt Jr Do Pc

Y

Najjar Infectious Disease PC

Y

Northern Michigan Medical Management

Y

Michael A Kia Do Pc

Y

Surgical Consultants PLLC

Y

Lapeer Pediatrics PC

Y

Jason Cochran Do Pc

Y

Esa M Ali MD PC

Y

Cardiac Institute

Y

Raouf Mikhail

Y

Looking Glass Foot & Ankle Pc

Y

Northern Michigan Hematology And Oncology

Y

John Ketner

Y

Mount Clemens Regional Medical Center

Y

McLaren Port Huron

Y

Central Michigan Community Hospital

Y

Pontiac Osteopathic Hospital

Y

Ingham Regional Medical Center

Y

Barbara Ann Karmanos Cancer Institute

Y

Kellam & Associates, P. C.

Y

Gladstone A Payton DO PC

Y

Bay Regional Medical Center

Y

Capital Area Anesthesia PC

Y

McLaren Northern Michigan

Y

Singh & Arora Oncology Hematology PC

Y

Vascular Surgery Assoc PC

Y

Preecha Supanwanid, Md Pc

Y

Capital Internal Medicine Associates PC

Y

McLaren Regional Medical Center

Y

Pulmonary & Critical Care Medicine Consultants Pc

Y

Orthopedic Associates of Port Huron PC

Y

Pulmonary Associates PC

Y

Lapeer Regional Medical Center

Y

Anup Sud MD PC

Y

Northeast Surgical Group PC

Y

North Oakland North Macomb Imaging, Inc

Y

Macomb Internal Medicine Pc

Y

Hesham E Gayar MD PC

Y

McLaren Medical Group

Y

Northpointe OB-GYN PC

Y

Sunil K Kaushal, MD, P.C.

Y

Gary E Hosey DPM PC

Y

Pain Management Centers PC

Y

Cynthia L Glasson Inc

Y

Michigan Cardiology PC

Y

Petoskey Family Medicine PC

Y

Michael J Mueller Md Pc

Y

Northern Michigan Pain Specialists PC

Y

John D Arsen DPM Inc

Y

MEDPARTNERS PLC

Y

Michigan State University

Y

Mt Morris Medical Group Pllc

Y

Heart & Vascular Institute of MI PC

Y

Larkin Family Medicine PLC

Y

Family First - Armada PLLC

Y

Mount Pleasant Medical Associates PLLC

Y

John N Flood Do Pc

Y

Foremost Podiatry Pc

Y

Patrick H Noud Md Plc

Y

Frederick R Armenti MD PC

Y

Total Kidney Care

Y

Chest And Sleep Medicine Consultants,Plc

Y

ACO governing body:

Member

Member's Voting Power – Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

McKenna

Michael

Chairman

1

ACO Participant Representative

McLaren Northern Michigan

Kendall

Kathy

Voting Member

1

Other – McLaren Health Plan, CEO

N/A

Mazurkiewicz

David

Voting Member

1

ACO Participant Representative

Mount Clemens Regional Medical Center

Wentzloff

Gary

Voting Member

1

ACO Participant Representative

Central Michigan Community Hospital

Ziccardi

Michael

Voting Member

1

ACO Participant Representative

McLaren Regional Medical Center

Cowsill

Lawrence

Voting Member

1

ACO Participant Representative

Pontiac Osteopathic Hospital

Lee

Daniel

Voting Member

1

ACO Participant Representative

Bay Regional Medical Center

Ali

Esa

Voting Member

1

ACO Participant Representative

Esa M Ali MD PC

Accetta

Vito

Voting Member

1

Medicare Beneficiary

N/A

 

Key ACO clinical and administrative leadership:

Gary Wentzloff

ACO Executive

Michael Ziccardi

Medical Director

Kim Hamm

Compliance Officer

Kim Hmm

Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Quality and Clinical Integration Committee

Sara Liter-Kuester, D.O., Chair

Utilization Management Committee

Michael Ziccardi, D.O., Chief Medical Officer, Chair

Finance Committee

David Mazurkiewicz,Senior Vice President, CFO, Chair

 

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
  • Performance Year 2017, $0

Shared Savings Distribution

  • First 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

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

76.84

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

91.69

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

90.67

92.31

ACO-4

CAHPS: Access to Specialists

82.64

83.32

ACO-5

CAHPS: Health Promotion and Education

56.72

62.30

ACO-6

CAHPS: Shared Decision Making

74.83

75.85

ACO-7

CAHPS: Health Status/Functional Status

73.05

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

22.91

25.68

ACO-8

Risk Standardized, All Condition Readmission

14.93

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

17.46

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

54.76

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

81.72

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

63.13

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.88

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

83.23

75.32

ACO-13

Falls: Screening for Future Fall Risk

87.98

74.38

ACO-44

Imaging Studies for Low Back Pain

72.19

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

69.57

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

68.41

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

63.14

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

87.77

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

34.46

61.98

ACO-19

Colorectal Cancer Screening

60.59

64.58

ACO-20

Breast Cancer Screening

67.45

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.64

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

25.10

16.74

ACO-41

Diabetes: Eye Exam

53.03

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

71.94

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

88.42

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 “McLaren High Performance Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A58996 in the public use files on data.cms.gov.

Payment Rule Waivers

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