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Great Lakes ACO Public Reporting

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

Primary Contact Name Julie Kelly
Primary Contact Phone Number (906) 361-5678
Primary Contact Email Address julie.kelly1@lpnt.net

 

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture (Y or N)

Acquisition Bell Hospital, LLC (UP Health System - Bell) 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), PC N
Portage Physician Practices, Inc N
Superior Ear, Nose & Throat Allergy & Audiology 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 Title/Position Members' Voting Power Membership Type ACO Participant Legal Business Name
Eliza Annelin, PA-C Member/Chair 9.0909% ACO Participant Representative DLP Marquette Physician Practices Inc (UP Health System - Marquette)
John Bartlett, MD Member 9.0909% ACO Participant Representative Dickinson County Healthcare System (Marshfield Medical Center)
Dexter Clark, DO Member 9.0909% ACO Participant Representative DLP Marquette Physician Practices Inc (UP Health System - Marquette)
Chris Dehlin, MD Member / Vice Chair 9.0909% ACO Participant Representative N/A
Lynn Hartman, DO Member 9.0909% ACO Participant Representative DLP Marquette Physician Practices Inc (UP Health System - Doctors Park)
Catherine Kroll, DO Member 9.0909% ACO Participant Representative Upper Great Lakes Family Health Center
Christopher Smith, MD Member / Chair 9.0909% Community Stakeholder Representative DLP Marquette Physician Practices Inc (UP Health System - Bell)
Lisa Long, MD Member 9.0909% Community Stakeholder Representative DLP Marquette General Hospital, LLC (UP Health System - Marquette)
John Marshall Member 9.0909% Medicare Beneficiary Representative N/A
Kristen Phillips Member 9.0909% Community Stakeholder Representative N/A
Donald Simila Member 9.0909% ACO Participant Representative Upper Great Lakes Family Health Center

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Key ACO Clinical and Administrative Leadership

Interim ACO Executive July Kelly
Medical Director Lisa Long, DO
Compliance Officer Ashlie Heald
Quality Assurance/Improvement Officer Carol Ann Hudson

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Quality and Performance Improvement Dexter Clark, D.O., Committee Chair
Contracting and 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

2023Quality Performance Results:

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

Measure # Measure Name Collection Type ACO Performance ACO Mean
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

[1] A lower performance rate corresponds to higher quality.

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
  •  

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