Shared Savings Program Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance - Great Lakes, LLC

330 Seven Springs Way, Brentwood, TN 37027

ACO Primary Contact

Julie Kelly

(906) 361-5678

Julie.Kelly1@LPNT.net

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Acquisition Bell Hospital, LLC (UP Health System - Bell)	N
Anesthesiology of Marquette, P.C.	N
Adfinitas Health at UP Marquette, PLLC	N
Anesthesiology of Marquette, P.C.	N
Adfinitas Health at UP Marquette, PLLC	N
Bell Physician Practices Inc (UP Health System - Bell)	N
Dickinson County Healthcare System (Marshfield Medical Center)	N
DLP Marquette General Hospital, LLC (UP Health System - Marquette)	N
DLP Marquette Physician Practices Inc (UP Health System - Marquette)	N
Heritage Health PC	N
Medical Acne & Skincare	N
Medical Laboratories of Marquette, PC	N
Munising Memorial Hospital Association (Bay Care Medical Center)	N
OB-GYN Assoc of Marquette PC	N
Orthopedic Surgery Associates of Marquette PC (Advanced Center of Orthopedic & Plastic Surgery)	N
Portage Hospital, LLC (UP Health System – Portage)	N
Portage Physician Practices, Inc	N
Superior Ear, Nose & Throat Allergy & Audiology, PC	N
Superior Imaging Specialists PC	N
U P Asthma and Allergy Center	N
Upper Great Lakes Family Health Center	N
Upper Peninsula Imaging PC	N

ACO Governing Body:

Member First Name	Member Last Name	Member Title / Position	Member’s Voting Power (As a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Eliza	Annelin, PA-C	Member	8.3333%	ACO Participant Representative	DLP Marquette Physician Practices Inc (UP Health System - Marquette)
John	Bartlett, MD	Member	8.3333%	ACO Participant Representative	Dickinson County Healthcare System (Marshfield Medical Center)
Dexter	Clark, DO	Member	8.3333%	ACO Participant Representative	DLP Marquette Physician Practices Inc (UP Health System - Marquette)
Chris	Dehlin, MD	Member / V. Chair	8.3333%	Community Stakeholder Representative	N/A
Lynn	Hartman, DO	Member	8.3333%	ACO Participant Representative	DLP Marquette Physician Practices Inc (UP Health System - Doctors Park)
Korby	Howell, PA-C	Member	8.3333%	ACO Participant Representative	Dickinson County Healthcare System (Marshfield Medical Center)
Catherine	Kroll, DO	Member	8.3333%	ACO Participant Representative	Upper Great Lakes Family Health Center
Christopher	Smith, MD	Member / Chair	8.3333%	ACO Participant Representative	DLP Marquette Physician Practices Inc (UP Health System - Bell)
Lisa	Long, MD	Member	8.3333%	ACO Participant Representative	DLP Marquette General Hospital, LLC (UP Health System - Marquette)
John	Marshall	Member	8.3333%	Medicare Beneficiary	N/A
Kristen	Phillips	Member	8.3333%	Community Stakeholder Representative	N/A
Donald	Simila	Member	8.3333%	ACO Participant Representative	Upper Great Lakes Family Health Center

Key ACO Clinical and Administrative Leadership:

ACO Executive: Julie Kelly

Medical Director: Lisa Long, D.O.

Compliance Officer: Ashlie Heald

Quality Assurance/Improvement Officer: Carol Ann Hudson

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Quality Performance & Improvement	Dexter Clark, D.O., Committee Chair
Contracting & Finance	Peter Camilli, Regional Director of Physician Services, Committee Chair

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Federally Qualified Health Center (FQHC)
ACO Professionals in a group practice arrangement
Hospital Employing ACO Professionals
Network of individual practices of ACO professionals
Rural Health Center (RHC)
Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings/Losses:

First Agreement Period
- Performance Year 2023, $0
- Performance Year 2022, $0
- Performance Year 2021, $0
- Performance Year 2020, $0
- Performance Year 2019A, $0

Shared Savings Distribution:

First Agreement Period
- Performance Year 2023
- N/A
- Performance Year 2022
- N/A
- Performance Year 2021
- N/A
- Performance Year 2020
- N/A
- Performance Year 2019A
- N/A

Quality Performance Results

20[XX]Quality Performance Results:

Quality performance results are based on the [Enter “CMS Web Interface” or “eCQMs/MIPS CQMs” Measure Set] collection type.

001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	MIPS CQM	44.70	35.18
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	eCQM	54.41	48.99
236	Controlling High Blood Pressure	MIPS CQM	74.49	72.35
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1288	0.1553
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	80.76	83.68
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	92.33	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	90.27	92.14
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	75.04	75.97
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	61.93	63.93
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	63.82	61.6
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	73.16	74.12
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	83.81	85.77
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.13	92.31
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	24.77	26.69
Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
Payment for Telehealth Services:
- N/A

Great Lakes ACO Public Reporting