About

ACO Name and Location:

Northwest Ohio ACO, LLC
4235 Secor Rd
Toledo, OH 43623

ACO Primary Contact:

Tim Poplawski
Executive Director
tpoplawski@toledoclinic.com
419-318-9447

Organizational Information:

Shared Savings and Losses:

Amount of Shared Savings/Losses

Shared Savings Distribution

Payment Rule Waivers

Quality Performance Results

2015 Quality Performance Results Table

Measure number

Measure Name

2015 reporting period

ACO
performance rate

Mean performance rate (SSP-  ACOs)

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

80.22

80.61

ACO-2

CAHPS: How Well Your Providers Communicate

93.64

92.65

ACO-3

CAHPS: Patients’ Rating of Provider

92.88

91.94

ACO-4

CAHPS: Access to Specialists

82.60

83.61

ACO-5

CAHPS: Health Promotion and Education

56.54

59.06

ACO-6

CAHPS: Shared Decision Making

79.45

75.17

ACO-7

CAHPS: Health Status/Functional Status

71.59

72.3

ACO-34

CAHPS: Stewardship of Patient Resources*

29.06

26.87

ACO-8

Risk Standardized, All Condition Readmission

14.41

14.86

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)*
Readmission

17.83

18.07

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes*

55.61

54.60

ACO-37

 All-Cause Unplanned Admissions for Patients with Heart Failure*

75.93

76.96

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

62.21

62.92

ACO-9

Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

1.35

1.11

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)

1.08

1.04

ACO-11

Percent of Primary Care Physicians who Successfully Meet Meaningful Use
Requirements

100.00%

80.14%

ACO-39

Documentation of Current Medications in the Medical Record*

95.59

84.07

ACO-13

Falls: Screening for Future Fall Risk

39.45

56.46

ACO-14

Preventive Care and Screening: Influenza Immunization

66.41

62.03

ACO-15

Pneumonia Vaccination Status for Older Adults

49.63

63.73

ACO-16

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

63.12

71.15

ACO-17

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

72.42

90.16

ACO-18

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

10.67

45.25

ACO-19

Colorectal Cancer Screening

42.14

60.06

ACO-20

Breast Cancer Screening

46.56

65.67

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and
Follow-Up Documented

45.60

70.04

ACO-40

Depression Remission at Twelve Months*

N/A

N/A

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

35.08

20.38

ACO-41

Diabetes: Eye Exam*

57.26

41.05

ACO-28

Hypertension: Controlling High Blood Pressure

60.94

69.62

ACO-30

Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic

87.80

83.82

ACO-31

Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

90.57

87.22

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%)

82.76

77.73

CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

*= Measure required beginning Reporting Year 2015.

N/A= Reporting on the depression remission measure is not required for 2015, as indicated by N/A

 

 

2012 -2014 Quality Performance Results Table

Measure number

Performance measure

2012 reporting period

2013 reporting period

2014 reporting period

ACO performance rate

Mean performance rate for all ACOs

ACO performance rate

Mean performance rate for all ACOs

ACO performance rate

Mean performance rate for all ACOs

ACO-1

Getting Timely Care, Appointments, and Information

Not in operations

Not in operations

77.04

81.48

79.98

80.13

ACO-2

How Well Your Doctors Communicate

Not in operations

Not in operations

92.11

92.96

92.67

92.39

ACO-3

Patients’ Rating of Doctor

Not in operations

Not in operations

91.69

92.06

91.18

91.58

ACO-4

Access to Specialists

Not in operations

Not in operations

84.19

85.12

84.84

83.97

ACO-5

Health Promotion and Education

Not in operations

Not in operations

57.08

58.38

57.85

58.29

ACO-6

Shared Decision Making

Not in operations

Not in operations

74.50

74.53

77.21

74.6

ACO-7

Health Status/Functional Status

Not in operations

Not in operations

69.30

71.12

70.80

71.1

ACO-8

Risk Standardized, All Condition Readmissions

Not in operations

Not in operations

15.97

14.90

14.74

15.15

ACO-9

ASC Admissions: COPD or Asthma in Older Adults

Not in operations

Not in operations

1.65

1.17

1.37

1.08

ACO-10

ASC Admission: Heart Failure

Not in operations

Not in operations

1.42

1.20

1.25

1.19

ACO-11

Percent of PCPs who Qualified for EHR Incentive Payment

Not in operations

Not in operations

79.52

66.21

92.50

76.71

ACO-12

Medication Reconciliation

Not in operations

Not in operations

87.12

73.56

98.88

82.61

ACO-13

Falls: Screening for Fall Risk

Not in operations

Not in operations

3.40

39.57

26.10

45.6

ACO-14

Influenza Immunization

Not in operations

Not in operations

69.68

56.93

64.62

57.51

ACO-15

Pneumococcal Vaccination

Not in operations

Not in operations

43.75

54.76

45.26

55.03

ACO-16

Adult Weight Screening and Follow-up

Not in operations

Not in operations

64.23

61.61

57.56

66.75

ACO-17

Tobacco Use Assessment and Cessation Intervention

Not in operations

Not in operations

91.06

84.01

95.62

86.79

ACO-18

Depression Screening

Not in operations

Not in operations

2.20

31.19

19.34

39.27

ACO-19

Colorectal Cancer Screening

Not in operations

Not in operations

55.11

59.30

54.01

56.14

ACO-20

Mammography Screening

Not in operations

Not in operations

57.84

62.05

70.07

61.41

ACO-21

Proportion of Adults who had blood pressure screened in past 2 years

Not in operations

Not in operations

92.52

74.25

60.95

60.24

ACO-22

Hemoglobin A1c Control (HbA1c) (<8 percent)

Not in operations

N/A

64.79

N/A

64.96

N/A

ACO-23

Low Density Lipoprotein (LDL) (<100 mg/dL)

Not in operations

N/A

44.02

N/A

56.45

N/A

ACO-24

Blood Pressure (BP) <140/90

Not in operations

N/A

65.91

N/A

62.77

N/A

ACO-25

Tobacco Non Use

Not in operations

N/A

71.11

N/A

83.45

N/A

ACO-26

Aspirin Use

Not in operations

N/A

72.73

N/A

86.08

N/A

ACO-27

Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)

Not in operations

Not in operations

29.35

22.11

23.36

20.35

ACO-28

Percent of beneficiaries with hypertension whose BP <140/90

Not in operations

Not in operations

67.52

67.79

66.18

68.02

ACO-29

Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl

Not in operations

Not in operations

43.53

55.44

N/A

N/A

ACO-30

Percent of beneficiaries with IVD who use Aspirin or other antithrombotic

Not in operations

Not in operations

67.15

76.35

92.46

80.79

ACO-31

Beta-Blocker Therapy for LVSD

Not in operations

Not in operations

87.60

79.82

97.92

82.71

ACO-32

Drug Therapy for Lowering LDL Cholesterol

Not in operations

N/A

67.45

71.60

N/A

N/A

ACO-33

ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD

Not in operations

N/A

64.53

69.13

88.05

N/A

Note: ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease,, EHR = electronic health record, IVD = ischemic vascular disease, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

Contact Info

Northwest Ohio ACO
4235 Secor Rd.
Toledo, OH 43623

P: 419-318-9447

E: tpoplawski@toledoclinic.com