Northwest Ohio ACO, LLC
Previous Names: N/A
4235 Secor Rd
Toledo, OH 43623
Primary Contact Name |
Chris Santoro |
Primary Contact Phone Number |
419-318-9447 |
Primary Contact Email Address |
ACO Participants |
ACO Participant in Joint Venture (Enter Y or N) |
Toledo Clinic Incorporated |
Y |
Northwest Surgical Specialists Inc |
Y |
James M Croak DO, Inc |
Y |
Alliance Retina, LLC |
Y |
Wood Health Company LLC |
Y |
Wood County Womens Care of Bowling Green, LLC |
Y |
Member |
Member's Voting Power |
Membership Type |
ACO Participant TIN Legal Business Name/DBA, if
Applicable |
||
Last Name |
First Name |
Title/Position |
|||
Elliot |
Ian |
President |
1 |
Board |
Toledo Clinic, Inc. |
Jacob |
Moshir |
CMO |
1 |
Board |
Toledo Clinic, Inc. |
Sternfeld |
William |
|
1 |
Board |
Toledo Clinic, Inc. |
Bais |
Sanjiv |
|
1 |
Board |
Toledo Clinic, Inc. |
Naddaf |
Henry |
|
1 |
Board |
Toledo Clinic, Inc. |
Rao |
Upamaka |
|
1 |
Board |
Toledo Clinic, Inc. |
Salem |
Mazin |
|
1 |
Board |
Toledo Clinic, Inc. |
Wyatt |
Duane |
|
1 |
Board |
Medicare Beneficiary Representative |
Bell |
Wayne |
|
1 |
Board |
Wood Health Company LLC |
Korducki |
Stan |
1 |
Board |
Wood Health Company LLC |
Chris Santoro |
ACO Executive Director |
Moshir Jacob, MD |
Medical Director |
Peter Stanos, MD |
Compliance Officer |
Moshir Jacob, MD |
Quality Assurance/Improvement Officer |
Committee Name |
Committee Leader Name and Position |
Quality Committee |
Moshir Jacob, MD. |
Compliance Committee |
Peter Stanos, MD. |
2019 Quality Performance Results:
ACO# |
Measure Name |
Rate |
ACO Mean |
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
85.89 |
85.86 |
ACO-2 |
CAHPS: How Well Your Providers Communicate |
94.57 |
94.11 |
ACO-3 |
CAHPS: Patients’ Rating of Provider |
92.31 |
92.69 |
ACO-4 |
CAHPS: Access to Specialists |
82.83 |
81.54 |
ACO-5 |
CAHPS: Health Promotion and Education |
64.54 |
60.44 |
ACO-6 |
CAHPS: Shared Decision Making |
71.42 |
62.78 |
ACO-7 |
CAHPS: Health Status/Functional Status |
75.66 |
73.79 |
ACO-34 |
CAHPS: Stewardship of Patient Resources |
29.95 |
26.17 |
ACO-45 |
CAHPS: Courteous and Helpful Office Staff |
92.16 |
92.84 |
ACO-8 |
Risk Standardized, All Condition Readmission |
14.74 |
14.86 |
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic
Conditions |
55.56 |
58.15 |
ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention
Quality Indicator (PQI) #91) |
2.12 |
1.87 |
ACO-13 |
Falls: Screening for Future Fall Risk |
90.07 |
84.04 |
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
71.82 |
74.77 |
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention |
87.10 |
78.04 |
ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and
Follow-up Plan |
85.16 |
70.40 |
ACO-19 |
Colorectal Cancer Screening |
75.37 |
70.76 |
ACO-20 |
Breast Cancer Screening |
78.63 |
73.84 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular
Disease |
85.47 |
82.17 |
ACO-40 |
Depression Remission at Twelve Months |
6.15 |
13.58 |
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
15.02 |
13.88 |
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
75.10 |
75.04 |
2018 Quality Performance Results:
ACO# |
Measure Name |
Rate |
ACO Mean |
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
85.30 |
86.14 |
ACO-2 |
CAHPS: How Well Your Providers Communicate |
93.72 |
93.93 |
ACO-3 |
CAHPS: Patients’ Rating of Provider |
92.50 |
92.45 |
ACO-4 |
CAHPS: Access to Specialists |
83.09 |
81.50 |
ACO-5 |
CAHPS: Health Promotion and Education |
60.68 |
59.26 |
ACO-6 |
CAHPS: Shared Decision Making |
69.41 |
61.94 |
ACO-7 |
CAHPS: Health Status/Functional Status |
73.93 |
73.35 |
ACO-34 |
CAHPS: Stewardship of Patient Resources |
31.06 |
26.26 |
ACO-8 |
Risk Standardized, All Condition Readmission |
14.57 |
14.98 |
ACO-35 |
Skilled Nursing Facility 30-day All-Cause Readmission measure
(SNFRM) |
18.61 |
18.59 |
ACO-36 |
All-Cause Unplanned Admissions for Patients with Diabetes |
34.32 |
37.01 |
ACO-37 |
All-Cause Unplanned Admissions for Patients with Heart Failure |
70.66 |
76.75 |
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic
Conditions |
56.91 |
59.00 |
ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention
Quality Indicator (PQI) #91) |
2.26 |
1.98 |
ACO-11 |
Use of Certified EHR Technology |
99.78 |
98.20 |
ACO-12 |
Medication Reconciliation Post-Discharge |
98.71 |
85.91 |
ACO-13 |
Falls: Screening for Future Fall Risk |
84.91 |
79.73 |
ACO-44 |
Use of Imaging Studies for Low Back Pain |
60.00 |
64.36 |
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
62.92 |
72.71 |
ACO-15 |
Pneumonia Vaccination Status for Older Adults |
80.73 |
75.97 |
ACO-16 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and
Follow Up |
86.06 |
76.83 |
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention |
67.44 |
72.81 |
ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and
Follow-up Plan |
65.28 |
66.74 |
ACO-19 |
Colorectal Cancer Screening |
63.29 |
68.27 |
ACO-20 |
Breast Cancer Screening |
71.04 |
71.96 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular
Disease |
83.53 |
81.47 |
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
13.65 |
15.51 |
ACO-41 |
Diabetes: Eye Exam |
62.25 |
52.42 |
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
72.96 |
73.10 |
ACO-30 |
Ischemic Vascular Disease (IVD): Use of Aspirin or Another
Antiplatelet |
94.74 |
88.92 |
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 and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.
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.
The
Company has authorized a waiver
of certain federal fraud
and abuse laws
for
a patient coordination project involving The Toledo
Clinic (“TTC”),
Toledo Clinic Cancer Centers (“TCCC”),
and The University of Toledo Medical Center’s Eleanor N. Dana
Cancer Center (“DCC”),
whereby the parties desire to coordinate care for oncology
patients through the provision of necessary professional
healthcare services and pharmaceutical oncology drugs (the “Arrangement”).
The
governing body of the Company authorized the application of the
waiver to the Arrangement on November 10, 2020, following a
determination that the Arrangement supports the goals of the
Company and is reasonably related to the purposes of the MSSP,
in each case because the Arrangement:
(i) expands access to lower cost of care for governmental and
underinsured patients, including Medicare beneficiaries
attributed to the Company; (ii) improves access to care by
increasing a specialized skillset and creating a larger
physician network profile for similar populations; (iii)
improves the coordination of specialty and primary care; (iv)
improves the transparency of pharmacy costs; and (v) increases
resources and the capacity to assist insured and uninsured
patients, including Medicare beneficiaries attributed to the
Company.