Adena Healthcare Collaborative, LLC | MSSP/ACO | Southern Ohio

Adena Healthcare Collaborative LLC

Transparency is one important aspect of patient centeredness and patient engagement in the Medicare Shared Savings Program (MSSP). We believe public reporting aids transparency and can promote more informed patient choice, provide feedback to stakeholders and providers, help improve quality and lower the cost of care, and improve oversight with respect to Adena Healthcare Collaborative, LLC's compliance with program requirements. This page provides important information for the public about Adena Healthcare Collaborative, LLC.

Providing the full spectrum of health care services within the Adena Health System is consistent with the stated purposes of the Medicare Shared Savings Program and the mission of Adena.  In-network care coordination provides more efficient and effective care for our patients.  As such, the governing body of Adena Healthcare Collaborative, LLC has determined that, in order to further the interests of the Accountable Care Organization (ACO) as a whole in meeting the objectives of the Medicare Shared Savings Program, it is reasonably necessary for Adena Healthcare Collaborative, LLC to include an in-network care coordination component and care coordination engagement factor in the Adena Medical Group.  The in-network care coordination component and care coordination factor will be made available to all eligible Adena Healthcare Collaborative, LLC ACO participants and ACO providers and suppliers. 

ACO Name and Location

Adena Healthcare Collaborative, LLC
Previous Names: N/A
272 Hospital Road
Chillicothe, Ohio 45601

ACO Primary Contact

Primary Contact Name

Bambi Huffman

Primary Contact Phone Number

740-542-4ACO (4226)

Primary Contact Email Address

bhuffman@adena.org

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Adena Medical Group, LLC

N

Greenfield Area Medical Center

N

Pike Health Services Inc

N

Adena Health System

N

 

ACO governing body:

Member

Member's Voting Power

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Carlson

Lisa 

 Chairperson

 1

ACO Particpant Representative 

Adena Health System

Edrington

Kathy 

 

ACO Particpant Representative 

Adena Health System

Huffman

Bambi 

 

ACO Particpant Representative  

Adena Health System

Zakrzewski

Devin 

 

ACO Particpant Representative  

Adena Health System

Violette, MD

Robert 

 

ACO Particpant Representative  

Adena Medical Group, LLC 

Tucker, MD

Kirk 

 

ACO Particpant Representative  

Adena Medical Group, LLC 

Jetty, MD

Satish

 

ACO Particpant Representative 

Adena Medical Group, LLC 

Freeman, DO

Anthony

 

ACO Particpant Representative 

Adena Medical Group, LLC 

Le, MD

Tri

   1

ACO Particpant Representative 

Adena Medical Group, LLC 

Kittaka, MD

Harry

 

ACO Particpant Representative 

Adena Medical Group, LLC 

Beatty

William 

 

Medicare Beneficiary 

 

 

Key ACO clinical and administrative leadership:

Bambi Huffman

ACO Executive

Kirk Tucker, MD

Medical Director

Kristin Boggs

Compliance Officer

Rhett Holland

Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

 Finance & Clincal Quality Committee

 Dr. Robert Violette, Chair

 Data & Analytics Committee

Jason Monroe & Rachel Collier, Co-Chairs 

 

 

 

 

 

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

  • Critical Access Hospital (CAH) billing under Method II
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses 

  • Second Agreement Period
    • Performance Year 2018, $0
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $4,453,320
    • Performance Year 2015, $2,551,721

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • 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
    • Performance Year 2016
      • Proportion invested in infrastructure: 28%
      • Proportion invested in redesigned care processes/resources: 8%
      • Proportion of distribution to ACO participants: 64%
    • Performance Year 2015
      • Proportion invested in infrastructure: 25% to cover start-up 
      • Proportion invested in redesigned care processes/resources: n/a
      • Proportion of distribution to ACO participants: 75% (60% to PCPs & Specialists and 40% to Hospitals)

Quality Performance Results

2018 Quality Performance Results:

ACO# 

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

85.57

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

93.81

93.93

ACO-3

CAHPS: Patients' Rating of Provider

92.29

92.45

ACO-4

CAHPS: Access to Specialists

83.58

81.50

ACO-5

CAHPS: Health Promotion and Education

56.17

59.26

ACO-6

CAHPS: Shared Decision Making

57.55

61.94

ACO-7

CAHPS: Health Status/Functional Status

69.06

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

25.24

26.26

ACO-8

Risk-Standardized, All Condition Readmission

15.09

14.98

ACO-35

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

20.31

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

37.47

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

79.05

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

60.28

59.00

ACO-43

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

2.21

1.98

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

100.00

98.20

ACO-12

Medication Reconciliation

87.27

85.91

ACO-13

Falls: Screening for Future Fall Risk

84.79

79.73

ACO-44

Imaging Studies for Low Back Pain

41.38

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

58.79

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

70.79

75.97

ACO-16

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

54.53

76.83

ACO-17

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

98.96

72.81

ACO-18

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

38.62

66.74

ACO-19

Colorectal Cancer Screening

76.03

68.27

ACO-20

Breast Cancer Screening

77.61

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

94.64

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

13.45

15.51

ACO-41

Diabetes: Eye Exam  

47.06

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

73.41

73.10

ACO-30

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

82.56

88.92

 

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

Note: In the Quality Performance Results file(s) above, search for “Adena Healthcare Collaborative, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2628 in the public use files on data.cms.gov.

Payment Rule Waivers

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

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.