Shared Savings Program Public Reporting Template and Instructions

Overview

This document provides Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (Shared Savings Program) with a public reporting template and instructions on how to complete the template. ACOs participating in the Shared Savings Program are required to publicly
report ACO organizational information and performance results on a designated webpage, per
42 CFR § 425.308.

ACO Name and Location

University Health ACO, LLC

2121 Medical Center Way

STE 200

Knoxville, TN  37920

ACO Primary Contact

Julia Coco

865-251-5800

Jcoco@utmck.edu 

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
University Health Systems, Inc
UT Urgent Care Centers, LLC
UHS Ventures Inc.
Faculty Internal Medicine
The University of Tennessee
Livesay Family Medicine, PC
N

 

ACO Governing Body:

Member

First Name

Member

Last Name

Member

Title/Position

Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Van Nes Jacyln MD, Chairman of the Board, Voting Member 1 ACO Participant Representative University Health System, Inc
Landsman Joseph Chief Executive Officer, Voting Member 1 ACO Participant Representative University Health System, Inc
Shamiyeh James MD, COO, Voting Member 1 ACO Participant Representative University Health System, Inc
Lacey John Voting Member 1 Medicare Beneficiary Representative N/A
Jeter Julie MD, Medical Director & Quality Health Care Professional, Voting Member 1 ACO Participant Representative University Health System, Inc
Crook II Jerry MD, Voting Member 1 ACO Participant Representative University Health System
Durbin Shelly MD, Voting Member 1 ACO Participant Representative University Health System, Inc
Daley Brian MD, Voting Member 1 ACO Participant Representative University Health System, Inc
Huet Rocio MD, Voting Member 1 ACO Participant Representative University Health System, Inc
Mendez Eduardo MD, Voting Member 1 ACO Participant Representative University Health System, Inc
Piel Jennifer MD, Voting Member 1 ACO Participant Representative University Health System, Inc
Hutchings Jonathan MD, Voting Member 1 ACO Participant Representative University Health System, Inc
Janoyan JJ MD, Voting Member 1 ACO Participant Representative University Health System, Inc
Cox Bennett Chief Council 0 ACO Participant Representative University Health System, Inc
Cunningham Ben CFO 0 ACO Participant Representative University Health System, Inc
Friar Kim CEO, Voting Member 1 Other – IPA Representative N/AACO
Saad Michael CIO 0 ACO Participant Representative University Health System, Inc
Marlette Zachary MD, Voting Member 1 ACO Participant Representative University Health System, Inc
Coco Julia VP, Clinical Integration, Secretary 0 ACO Participant Representative University Health System, Inc
Schearer Ryan Compliance Officer 0 ACO Participant Representative University Health System, Inc

Key ACO Clinical and Administrative Leadership:

ACO Executive: Joseph Landsman

Medical Director: Julia Jeter

Compliance Officer: Ryan Schearer

Quality Assurance/Improvement Officer: Julie Jeter

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Information Technology Shelly Durbin, MD
Quality and Utilization Review Julie Jeter, MD
Finance Eduardo Mendez, MD
Compliance Ryan Schearer 

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals
    Shared Savings and Losses

Amount of Shared Savings/Losses

  • Fourth Agreement Period
    • Performance Year 2021, $0
  • Third Agreement Period
    • Performance Year 2020, $0
  • Second Agreement Period
    • Performance Year 2019, $1,747,815.17
  • First Agreement Period
    • Performance Year 2018, $0

Shared Savings Distribution

  • Fourth Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Third Agreement Period
      • Performance Year 2020
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources: N/A
        • Proportion of distribution to ACO participants: N/A
      • Second Agreement Period
        • Performance Year 2019
          • Proportion invested in infrastructure: 5%
          • Proportion invested in redesigned care processes/resources: 5%
          • Proportion of distribution to ACO participants: 65%
        • First 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

Quality Performance Results

2021 Quality Performance Results

Quality performance results are based on CMS Web Interface.

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 8.81

 

12.46

 

134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 72.18

 

74.38

 

236 Controlling High Blood Pressure 72.91

 

74.87

 

318 Falls: Screening for Future Fall Risk 94.76

 

87.03

 

110 Preventative Care and Screening: Influenza Immunization 84.06

 

80.52

 

226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.92

 

80.97

 

113 Colorectal Cancer Screening 80.08

 

73.63

 

112 Breast Cancer Screening 80.00

 

75.11

 

438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.59

 

84.24

 

479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1571

 

0.1540

 

MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 35.54

 

33.94

 

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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