About

ACO Name and Location:

Northwest Ohio ACO, LLC

Previous Names: N/A
4235 Secor Rd
Toledo, OH 43623

ACO Primary Contact

Primary Contact Name

Tim Poplawski

Primary Contact Phone Number

419-318-9447

Primary Contact Email Address

tpoplawski@toledoclinic.com

 

Organizational Information

 

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Perrysburg Eye Center, Inc

Y

Toledo Clinic Incorporated

Y

Northwest Surgical Specialists Inc

Y

James M Croak DO, Inc

Y

Waterville Family Physicians, Inc

Y

Gary Swann DO

N

Endocrine And Diabetes Care Center, Inc

Y

John Rosenthal

Y

Wellcare Physicians Group, LLC

Y

 

Shared Savings and Losses:

Amount of Shared Savings/Losses

Shared Savings Distribution

 

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

81.05

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

92.84

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

91.89

92.31

ACO-4

CAHPS: Access to Specialists

83.92

83.32

ACO-5

CAHPS: Health Promotion and Education

62.23

62.30

ACO-6

CAHPS: Shared Decision Making

73.49

75.85

ACO-7

CAHPS: Health Status/Functional Status

73.15

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

30.62

25.68

ACO-8

Risk Standardized, All Condition Readmission

14.73

15.01

ACO-35

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

19.10

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

52.20

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

75.12

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

60.62

61.74

ACO-43

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

2.10

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

91.00

75.32

ACO-13

Falls: Screening for Future Fall Risk

77.57

74.38

ACO-44

Imaging Studies for Low Back Pain

51.85

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

68.26

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

76.07

72.92

ACO-16

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

70.13

70.69

ACO-17

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

96.93

90.48

ACO-18

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

67.16

61.98

ACO-19

Colorectal Cancer Screening

63.90

64.58

ACO-20

Breast Cancer Screening

70.71

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.68

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

20.21

16.74

ACO-41

Diabetes: Eye Exam

51.54

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

71.03

71.47

ACO-30

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

92.65

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 “Northwest Ohio ACO, LLC to view the quality performance results. This ACO can also be found by using the ACO ID A71510 in the public use files on data.cms.gov.

Payment Rule Waivers

·         No, our ACO does not use the SNF 3-Day Rule Waiver.
    • Participation Waiver
      • The Centers for Medicare and Medicaid Services (“CMS”) and the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) have made available waivers of certain federal fraud and abuse laws in connection with the operation of accountable care organizations (“ACOs”) that have entered into a participation agreement under the Medicare Shared Savings Program (“MSSP”).
      • In order to receive the benefit of such waivers, the governing body of Northwest Ohio ACO, LLC (“Northwest Ohio ACO”) has made a bona fide, detailed determination that the following arrangement is reasonably related to the purposes of the MSSP.
      • Northwest Ohio ACO has authorized a waiver of certain federal fraud and abuse laws for the development of an ambulatory surgery center (“ASC”) among certain physicians, some of whom are participating providers in Northwest Ohio ACO and/or affiliated with The Toledo Clinic, Inc., a participant in Northwest Ohio ACO, which provides dialysis vascular and peripheral arterial disease services to patients within the community, including Medicare beneficiaries attributed to Northwest Ohio ACO (the “Arrangement”). As part of the Arrangement, the ASC will create a plan of clinical integration with Northwest Ohio ACO, which may include, without limitation, the ASC sharing quality and claims data for purposes of enhancing the triple aim.
      • The governing body of Northwest Ohio ACO authorized the application of the waiver to the Arrangement on April 11, 2017, following a determination that the Arrangement supports the goals of Northwest Ohio ACO and is reasonably related to the purposes of the MSSP, in each case because the Arrangement: (i) increases the quality of vascular/PAD services and reduces the costs of healthcare for the community, which include Medicare beneficiaries attributed to Northwest Ohio ACO; (ii) allows for greater access to vascular/PAD services in the community, including for Medicare beneficiaries attributed to Northwest Ohio ACO; (iii) encourages investment in infrastructure for high quality and efficient service delivery for patients, including Medicare beneficiaries attributed to Northwest Ohio ACO; and (iv) enhances physician engagement for driving true performance and clinical integration, including for physicians affiliated with Northwest Ohio ACO participants.
    • DME Waiver
      • The Centers for Medicare and Medicaid Services (“CMS”) and the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) have made available waivers of certain federal fraud and abuse laws in connection with the operation of accountable care organizations (“ACOs”) that have entered into a participation agreement under the Medicare Shared Savings Program (“MSSP”).
      • In order to receive the benefit of such waivers, the governing body of Northwest Ohio ACO, LLC (“Northwest Ohio ACO”) has made a bona fide, detailed determination that the following arrangement is reasonably related to the purposes of the MSSP.
      • Northwest Ohio ACO has authorized a waiver of certain federal fraud and abuse laws for the development of an ambulatory surgery center (“ASC”) among certain physicians, some of whom are participating providers in Northwest Ohio ACO and/or affiliated with The Toledo Clinic, Inc., a participant in Northwest Ohio ACO, which provides dialysis vascular and peripheral arterial disease services to patients within the community, including Medicare beneficiaries attributed to Northwest Ohio ACO (the “Arrangement”).  As part of the Arrangement, the ASC will create a plan of clinical integration with Northwest Ohio ACO, which may include, without limitation, the ASC sharing quality and claims data for purposes of enhancing the triple aim.
      • The governing body of Northwest Ohio ACO authorized the application of the waiver to the Arrangement on April 11, 2017, following a determination that the Arrangement supports the goals of Northwest Ohio ACO and is reasonably related to the purposes of the MSSP, in each case because the Arrangement: (i) increases the quality of vascular/PAD services and reduces the costs of healthcare for the community, which include Medicare beneficiaries attributed to Northwest Ohio ACO; (ii) allows for greater access to vascular/PAD services in the community, including for Medicare beneficiaries attributed to Northwest Ohio ACO; (iii) encourages investment in infrastructure for high quality and efficient service delivery for patients, including Medicare beneficiaries attributed to Northwest Ohio ACO; and (iv) enhances physician engagement for driving true performance and clinical integration, including for physicians affiliated with Northwest Ohio ACO participants.

 

Contact Info

Northwest Ohio ACO
4235 Secor Rd.
Toledo, OH 43623

P: 419-318-9447

E: tpoplawski@toledoclinic.com