ACOs: Accountable Care Is Coordinated CareChicago Health System ACO, LLC.

750 Pasquinelli Drive, Suite 216
Westmont, IL 60559

ACO Primary Contact

Primary Contact Name Claire Heideman, Executive Director, Physician Network- Loyola Physician Partners
Primary Contact Phone Number 708-216-8224
Primary Contact Email Address claire.heideman@luhs.org
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Zinger Medical Offices  N
NOMC MacNeal Radiation Therapy Joint Venture, LLC  N
Premier Internal Medicine Group Sc  N
Northwest Health Care, Ltd  N
Macneal Physicians Group Llc  N
Christina Arellano  N
Cezary Kakol  N
I.Desai & R. Gokani, MD, SC  N
Hb Stone Ml Scheinman MD SC  N
Rafath Rasheed, MD  N
Wallan O Muehrcke MD, SC  N
Peter E. Eupierre MD, SC  N
Primary Care Associates Ltd  N
Win Care Medical Consultants Ltd  N
PCC Community Wellness Center  N
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Shehzad Ali MDSC  N
Sabah A Khan  N
Cezary Kakol  N
Ehtesham J.Ghani, MD, SC  N
Medrad Clinics, S.C.  N
Garcia Life Partners, LTD  N
Archer Family Medical Group, Llc  N
Christina Arellano MDSC  N
AAA Healthcare  N
VHS of Illinois, Inc  N
Dacia Medical Professional Corporation  N
Asian Village Medical Clinic Pc  N
Arellano MD, SC  N
Family Care Associates Of Chicago  N

ACO governing body:

 Member Name Title/Position Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Cleary, M.E. CEO  12.5 ACO Participant Representative  VHS of Illinois
Gershberg, Michael Physician 12.5 ACO Participant Representative Primary Care Associates
Jain, Shishir Physician  12.5 ACO Participant Representative I Desai & R Gokani
Rose, Clement Physician  12.5  ACO Participant Representative  Win Care Medical Consultants
Michel, Steve Physician & Board Chairman  12.5  ACO Participant Representative  MacNeal Physicians Group
Levy, David Physician  12.5  ACO Participant Representative  Archer Family Medical
Panton, Peter Physician  12.5  Community Stakeholder Panton Eye Center
Milford, Ron Beneficiary  12.5  Medicare Beneficiary   N/A
Heideman, Claire Executive Director  0  Other   N/A

Key ACO clinical and administrative leadership:

Claire Heideman ACO Executive
Steve Michel Medical Director
John Hart Compliance Officer
David Levy Quality Assurance/Improvement Officer

Associated committees and committee leadership:
N/A

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

  1. ACO professionals in a group practice arrangement
  2. Networks of individual practices of ACO professionals
  3. Partnerships or joint venture arrangements between hospitals and ACO professionals
  4. Hospital employing ACO professionals
  5. Federally Qualified Health Center (FQHC)

Shared Savings and Losses:

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2016, $3,657,367
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 50%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 50%
  • First Agreement Period
    • Performance Year 2015
      • 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 2014
    • 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 2013
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.69 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 94.41 93.01
ACO-3 CAHPS: Patients' Rating of Provider 94.45 92.25
ACO-4 CAHPS: Access to Specialists 82.57 83.49
ACO-5 CAHPS: Health Promotion and Education 62.96 60.32
ACO-6 CAHPS: Shared Decision Making 75.11 75.40
ACO-7 CAHPS: Health Status/Functional Status 70.49 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 25.10 26.97
ACO-8 Risk-Standardized, All Condition Readmission 14.25 14.70
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.02 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 58.89 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 73.29 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.47 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 12.03 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 11.22 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 86.79 82.72
ACO-39 Documentation of Current Medications in the Medical Record 88.84 87.54
ACO-13 Falls: Screening for Future Fall Risk 82.68 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 72.36 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 71.54 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 80.73 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.71 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 71.77 53.63
ACO-19 Colorectal Cancer Screening 63.41 61.52
ACO-20 Breast Cancer Screening 74.03 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 90.32 76.79
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.61 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.87 18.24
ACO-41 Diabetes: Eye Exam 60.43 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 81.60 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 84.87 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 90.70 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%) 87.54 79.67

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 “Chicago Health System ACO, LLC” or “CHS ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A12621 in the public use files on data.cms.gov.

Payment Rule Waivers

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