Summa Accountable Care Organization
Previous Names: N/A
1077 Gorge Blvd.
Akron, Ohio 44310
| Contact Name: | Melissa Pidhorodeckyj |
| Contact Phone: | 330-996-8541 |
| Contact Email Address: | pidhorodeckym@summahealth.org |
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
|---|---|
| Austin Primary Care, LLC | N |
| Brian R. Cain, M.D. And Associates |
N |
| B.S. Bonyo D.O. & Associates, Inc. |
N |
| Diana Brewster |
N |
| Grenville Machado, MD, Inc. |
N |
| Hartville Internal Medicine PA |
N |
| Julie Reeves, MD, Inc. |
N |
| Kreptowski Family Practice, LLC |
N |
| Manor Management Co Inc. |
N |
| Ohio Family Practice Centers, Inc. |
N |
| PAX Medical Associates Inc. | N |
| South Court Family Physicians, Inc. |
N |
| Stark County Medical Group Inc. | N |
| Summa Physicians, Inc. |
N |
| Total Lifetime Care Medical Affiliates, Inc. |
N |
| Waleed F Nemer MD, Inc. |
N |
| Members | Member's Voting Power | Membership Type | ACO Participant Legal Business Name and D/B/A, if applicable | ||
|---|---|---|---|---|---|
| Last Name | First Name | Title/Position | |||
| Bachtel | Jeffrey | MD; Voting Member | 1 | ACO Participant Representative | Summa Physicians, Inc. |
| Bhalla | Vivek | MD; Voting Member | 1 | ACO Participant Representative | Summa Physicians, Inc. |
| Coleman | Paul | MD; Voting Member | 1 | ACO Participant Representative | Summa Physicians, Inc. |
| Cook | Gary | Voting Member | 1 | Medicare Beneficiary Representative | N/A |
| Cook | J. Christian | DO; Chairman; Voting Member | 1 | ACO Participant Representative | Austin Primary Care, LLC |
| Deveny | T. Clifford | MD; Voting Member | 1 | Other - Parent Organization (Summa Health) Representative | Summa Health System |
| Epling | William | Ex-Officio (President) | 0 | Other - Ex-Officio (President) | N/A |
| Hollaway | Stacey | MD; Voting Member | 1 | ACO Participant Representative | Stark County Medical Group |
| Hostettler | Mark | MD; Voting Member | 1 | ACO Participant Representative | Manor Management Co. Inc dba Internal Medicine Phys |
| Hubbard | Dawn | MD; Voting Member | 1 | ACO Participant Representative | Summa Physicians, Inc. |
| Mahesh | Sameer | MD; Voting Member | 1 | ACO Participant Representative | Summa Physicians, Inc. |
| Schiaffino | Maria Alejandra | MD; Voting Member | 1 | ACO Participant Representative | Summa Physicians, Inc. |
| Soltis | Melissa | MD; Voting Member | 1 | ACO Participant Representative | Summa Physicians, Inc. |
| ACO Executive: | William Epling |
| Medical Director: | Dawn Hubbard, MD |
| Compliance Officer: | Beverly Brouse |
| Quality Assurance/Improvement Officer: | Kathy Blake |
| Committee Name | Committee Leader Name and Position |
|---|---|
| Clinical Performance: | Dawn Hubbard, MD; Chair |
| Finance: | Denise Knight; Chair |
Third Agreement Period
Second Agreement Period
First Agreement Period
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019
Third Agreement Period
Second Agreement Period
First Agreement Period
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
2021 Quality Performance Results:
| Measure# | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | 9.42 | 12.46 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 84.12 | 74.38 |
| 236 | Controlling High Blood Pressure | 82.71 | 74.87 |
| 318 | Falls: Screening for Future Fall Risk | 94.44 | 87.03 |
| 110 | Preventative Care and Screening: Influenza Immunization | 84.55 | 80.52 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 82.14 | 80.97 |
| 113 | Colorectal Cancer Screening | 75.36 | 73.63 |
| 112 | Breast Cancer Screening | 73.05 | 75.11 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 84.19 | 84.24 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [Risk Standardized, All Condition Readmission]* | 0.1592 | 0.1540 |
| MCC1 | All-Cause Unplanned Admission for Patients with Multiple Chronic Conditions | 37.26 | 33.99 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | 85.23 | 84.67 |
| CAHPS-2 | How Well Providers Communicate | 94.77 | 9.56 |
| CAHPS-3 | Patient's Rating of Provider | 92.78 | 92.19 |
| CAHPS-4 | Access to Specialists | 77.80 | 78.80 |
| CAHPS-5 | Health Promotion and Education | 64.24 | 61.61 |
| CAHPS-6 | Shared Decision Making | 60.96 | 60.89 |
| CAHPS-7 | Health Status and Functional Status | 73.28 | 71.78 |
| CAHPS-8 | Care Coordination | 86.49 | 85.66 |
| CAHPS-9 | Courteous and Helpful Office Staff | 93.10 | 91.88 |
| CAHPS-11 | Stewardship of Patient Resources | 23.39 | 24.71 |
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
N/A – ACO does not utilize the Pre-Participation Waiver
The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.
Parties: ACO, ACO participants and other ACO providers/suppliers affiliated with ACO
Date: As of July 1, 2019, as amended February 25, 2021
Description:
Care Provision Arrangements:
Under the Care Provision Arrangements, ACO employs and oversees the use of physicians, specialists, process improvement staff, a tightly aligned post-acute care network, and health care personnel with expertise in integrated care management and care transformation processes to assist ACO participants and other ACO providers/suppliers affiliated with ACO, with:
• coordinating and providing primary and specialty care for high-risk, vulnerable MSSP beneficiary populations;
• managing medication adherence and reconciliation
• appropriately managing care transitions; and
• transforming primary care processes.
Parties: ACO, ACO participants, ACO providers/suppliers, or other providers and suppliers affiliated with ACO
Date: As of July 1, 2019, as amended November 21, 2019
Description:
Health IT Arrangements:
Under the Health IT Arrangements, ACO (or, Summa Health or its subsidiary, Summa Health Network, on ACO’s behalf) purchases or contracts for the provision of multiple health Information technology resources, including electronic health record (“EHR”), population health management technology, data analytics systems and data extraction and aggregation tools to facilitate the following benefits for ACO participants, ACO providers/suppliers, or other providers and suppliers affiliated with ACO:
• Access to electronic medical records by and among providers in different care settings;
• Analytics to support referral management among MSSP beneficiaries’ health care providers;
• Provision of gap reporting, patient summaries, risk stratification, and enhanced registry services; and
• Support for the coordination of care and population health management of MSSP beneficiaries.
Parties: ACO participants and/or ACO providers’/suppliers
Date: As of July 1, 2019
Description:
Infrastructure & Care Redesign Arrangement:
Under the Infrastructure & Care Redesign Arrangement, ACO assesses an annual “administrative fee” against the ACO participants’ and/or ACO providers’/suppliers’ SummaCare Medicare Advantage and Medicare fee-for-service reimbursement in order to support ACO operations and infrastructure needs.
Parties: ACO, ACO participants and other ACO providers/suppliers affiliated with ACO
Date: As of July 1, 2019
Description:
Care Relationship Arrangements:
Under the Care Relationship Arrangements, ACO engages in activities that will serve to coordinate care for its beneficiaries with ACO participants and with other providers and suppliers, including but not limited to: the distribution of informational brochures, emails, or other materials about ACO participants and ACO providers/suppliers to patients transitioning from acute to post-acute care facilities, to patients seeking information about available treating providers and suppliers, or to other providers and suppliers that may refer patients to ACO participants.
