MSSP

ACO Name and Location
Healthcare Solutions Network, LLC
619 Oak Street
Cincinnati, OH 45206

ACO Primary Contact

Primary Contact Name Eric Peters
Primary Contact Phone Number      513-569-1965
Primary Contact Email Address Eric_Peters@hcs.network


Organizational Information

ACO Participants   ACO Participant in Joint Venture (Enter Y or N)  
Ahmad Attar MD N
Seniors First, Inc. N
Podiatry Associates of Cincinnati, Inc. N
Craig Bierer N
TriHealth Physician Practices, LLC N
TriHealth G LLC N
Geriatrics Consultants, LLC N
John Loughrey N
Premier EMG, LLC N
TriHealth H LLC N
TriHealth HF LLC N
Masood Ahmad N
Edward Long N
Sanford Osher N
Margretta Gennantonio N
Bethesda Hospital Inc N
The Good Samaritan Hospital of Cincinnati, Ohio N
Mayfield Clinic, Inc. N
Anesthesia Group Practice, Inc. N
McCullough-Hyde Memorial Hospital, Inc. N
Cincinnati Allergy & Asthma Center Inc N
Medical X-Ray, Inc. N
Northeast Radiology, Inc. N
Assoc in Womens Healthcare Inc N
Podiatry of Hamilton, Inc. N
Reconstructive Orthopaedics & Sports Medicine, Inc. N
Mills Sherman Gilliam & Goodwin PSC N
Colon & Rectal Disease Center, Inc. N
TriHealth Physician Institute N
John Loughrey N
Qualified Emergency Specialists, Inc. N
Bethesda Family Practice Center N
Crescent Women's Medical Group N
Oxford Radiology, Inc. N
Edward Long N
Allergy and Asthma Center of the Tri-State, Inc. N
Southern Ohio Pathology Consultants, Inc. N
Plastic Surgery Group Inc. N
TRISTATE Centers for Sight Inc. N
Allergy & Asthma Associates, Inc. N
Eye Care Associates of Greater Cincinnati, Inc. N
CEI Physicians PSC, Inc. N
Beacon Orthopaedics & Sports Medicine LTD N
Talawanda Emergency Physicians, Inc. N
Seven Hills OB/GYN Associates, Inc. N
Centers for Foot and Ankle Care LLC N
Jeffrey Leipzig N
Lohr Surgical Specialists LTD N
Donna Krummen MD Plastic & Reconstructive N
Surgery LLC      N
Dearborn County Hospital N
TriHealth Physicians of Indiana, Inc. N
TriHealth Hospital, Inc. N
Cincinnati Pain Physicians, LLC N
Kevin Eggerman N
Scott H Andrew DPM LLC N
St. Elizabeth Medical Center, Inc. Y
Radiology Associates of Northern Kentucky, PLLC N
Head and Neck Surgery Associates, PSC N
Independent Anesthesiologists, PSC N
Infectious Disease Consultants, Inc. N
Tri-State Gastroenterology Associates, PSC N
Commonwealth Orthopaedic Centers, PSC N
Summit Medical Group N
Kendall E. Hansen, M.D., PLC N
PSF, PLLC N
Sanford Osher N
Syamoq Eldercare, Inc. N
Ads Health LLC N
Crescent Health, Inc. N

 

ACO Governing Body:

 

Last Name First Name Title/Position
Member's Voting
Power
Membership Type
ACO Participant TIN
Legal Business
Name/DBA, if applicable
Garren Colvin Chair 1 ACO Participant Representative St. Elizabeth Medical Center, Inc.
Clement Mark Vice-Chair 1 ACO Participant Representative TriHealth Hospital, Inc.
Blank Gary Member 1 ACO Participant Representative St. Elizabeth Medical Center, Inc.
Donovan Gail Member 1 ACO Participant Representative Bethesda Hospital, Inc.
Ritchey-Baldwin Lori Member 1 ACO Participant Representative St. Elizabeth Medical Center, Inc.
DeVoe Andrew Member 1 ACO Participant Representative The Good Samaritan Hospital of Cincinnati, Ohio
Giolando Sarah Member 1 ACO Participant Representative St. Elizabeth Medical Center, Inc.
Hanlon Terri Member 1 ACO Participant Representative TriHealth Hospital, Inc.
Prichard Robert Member 1 ACO Participant Representative Summit Medical Group, Inc.
Groneman Will Member 1 ACO Participant Representative TriHealth G LLC
Banks Bill Member 1 ACO Participant Representative St. Elizabeth Medical Center, Inc.
Ward Tamara Member 1 ACO Participant Representative McCullough-Hyde Memorial Hospital, Inc.
Carle Chris Member 1 ACO Participant Representative Head and Neck Surgery Associates, PSC
Trice Laura Member 1 ACO Participant Representative Beacon Orthopaedics & Sports Medicine, LTD
Price Don Member 1 ACO Participant Representative Summit Medical Group, LLC
Strader Bryan Member 1 ACO Participant Representative Bethesda Hospital, Inc.
Roebker James Member 1 ACO Participant Representative Radiology Associates of Northern Kentucky, PLLC
Morad David Member 1 ACO Participant Representative TriHealth G LLC
Tapke Dick Member 1 Medicare Beneficiary Representative N/A
Jones Ted Voting Member 1 Medicare Beneficiary Representative N/A
Boggs Tom Ex-Officio 0 ACO Executive Healthcare Solutions Network, LLC

Key ACO Clinical and Administrative Leadership:

Tom Boggs ACO Executive
David Mouch Medical Director
Joanna Losier Compliance Officer
Joanna Losier Quality Assurance/Improvement Officer


Associated Committees and Committee Leadership: 

Committee Name Committee Leader Name and Position
Quality & Clinical Integration Committee Lorraine Stephens, MD, Chair
Provider Advisory Committee Larry Kendall, MD, Chair
Finance & Operations Committee Will Groneman, Chair
Contracting Committee Bill Banks, 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

  • 2017: To be completed after the conclusion of the Performance Year
  • 2018: To be completed after the conclusion of the Performance Year
  • 2019: To be completed after the conclusion of the Performance Year

 Shared Savings Distribution

  • Agreement Period beginning 2017, Performance Year 2017
    • Proportion invested in infrastructure: TBD
    • Proportion invested in redesigned care processes / resources: TBD
    • Proportion of distribution to ACO Participants: TBD
           

Quality Performance Results

2016 Quality Performance Results: 

ACO # Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information N/A 79.9
ACO-2 CAHPS: How Well Your Providers Communicate N/A 92.63
ACO-3 CAHPS: Patients' Rating of Provider N/A 91.93
ACO-4 CAHPS: Access to Specialists N/A 83.52
ACO-5 CAHPS: Health Promotion and Education N/A 60
ACO-6 CAHPS: Shared Decision Making N/A 75.28
ACO-7 CAHPS: Health Status/Functional Status N/A 71.82
ACO-34 CAHPS: Stewardship of Patient Resources N/A 27.52
ACO-8 Risk-Standardized, All Condition Readmission N/A 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) N/A 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes N/A 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure N/A 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions N/A 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) N/A 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) N/A 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements N/A 82.72
ACO-39 Documentation of Current Medications in the Medical Record N/A 87.54
ACO-13 Fall: Screening for Future Fall Risk N/A 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization N/A 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults N/A 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up N/A 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention N/A 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan N/A 53.63
ACO-19 Colorectal Cancer Screening N/A 61.52
ACO-20 Breast Cancer Screening N/A 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented N/A 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease N/A 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control N/A 18.24
ACO-41 Diabetes: Eye Exam N/A 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure N/A 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotinc N/A 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) N/A 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%)  N/A 79.67

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

 

 Payment Rule Waivers

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

 

For General Questions Regarding the Shared Savings Program

1-800-MEDICARE (1-800-633-4227)

Teletypewriter users should call 1-877-486-2048