ACO Name and Location - integratedhealthcollaborative.org

1 ACO name and Location Integrated Health Collaborative, LLC c/o Aultman Health Foundation 2600 Sixth Street SW Canton, Ohio 44710 ACO Primary Contact Primary Contact name Matt Ritzert Primary Contact Phone Number 330-363-6349 Primary Contact Email Address Organizational Information ACO participants: ACO Participants ACO Participant in Joint Venture (Enter Y or N) Chinyere Orafu N MASSILLON FAMILY CARE INC N Internal Medicine Clinic, Ltd N LAWRENCE PENVOSE DO N Partners In Family Practice N Kun Nam N FAMILY MEDICINE INC N Manal Assaad N Union Physician Services Llc N PINNACLE CARE PROVIDERS, LLC N Steven Chismar N Nathan Samsa N TOTAL WOMEN'S CARE, INC N HEALTH PROFESSIONALS OF HOLMES COUNTY, INC.

2 N CHRISTINE M. SAMSA, , LLC N OHIO PHYSICIAN PROFESSIONAL CORPORATION (AMG Aultman Family Medicine) (AMG Behavioral Health & Counseling Center) (AMG Brest Surgery Specialists) (AMG Canton Plastic Surgeons) (AMG Cardiovascular Consultants) (AMG Family Medicine of Carrollton) N (AMG Heart Core) (AMG Inpatient Medicine) (AMG Maternal-Featal Medicine) (AMG Orrville Endocrinology) (AMG Women s Health Services) (Aultman Palliative Care) Pomerene Hospital (Holmes County Joel Pomerene Memorial Hospital) N INTERNAL MEDICINE ASSOCIATES OF CANTON INC N KURT C GARREN, , INC. N AULTMAN HOSPITAL N THE UNION HOSPITAL ASSOCIATION N ATRIUM OB/GYN.

3 , INC. N MANSARD MEDICAL ASSOCIATES, INC. N AULTMAN NORTH CANTON MEDICAL GROUP (AMG Bolivar Medical Center) (AMG Cancer Center) (AMG Canton South Medical Center) (AMG Canton Urology) (AMG General Surgery) (AMG Kevin Hill, ) (AMG North Canton Medical Center) (AMG Steven Weaver, MD) (AMG Suzanne Morgan, DO) N RADIOLOGY ASSOCIATES OF CANTON, INC N STARK COUNTY WOMEN'S CLINIC INC N SUPPAN FOOT AND ANKLE CLINIC INC N OHIO HEAD AND NECK SURGEONS, INC N STARK RADIATION ONCOLOGY INCORPORATED N NEUROCARE CENTER, INC. N MICHAEL TIRMONIA, DO, INC N Kun Nam (Stark County Physicians, LLC) N LIFECARE HOSPICE N Canton Aultman Emergency Physicians Inc N BI COUNTY FOOT CARE, LTD.

4 N BETHANY MEDICAL CENTER INC N MICHAEL BARAT MD INC. N WEST MEDICAL, INC. N JACKSON FAMILY PRACTICE INC N LAWRENCE PENVOSE DO N LITTLE FLOWER FAMILY PRACTICE N ASTUTE MEDICAL ASSOCIATES INC N TUSCARAWAS COUNTY OB-GYN INC. N GASTROENTEROLOGY SPECIALISTS INC N HOLMES FAMILY MEDICINE INC N EDGAR R DELACRUZ MD INC N OHIO SPECIALTY PHYSICIANS CORPORATION (AMG JC Tabet, ) (AMG Mark Weiner, ) N GASTROENTEROLOGY AND HEPATOLOGY SPECIALISTS INC N OHIO HOSPITAL BASED PHYSICIAN CORPORATION N MILLERSBURG CLINIC INC N REGIONAL VASCULAR & VEIN INSTITUTE INC N UNION INTERNAL MEDICINE SPECIALTIES LTD N Manal H Assaad N Steven Chismar N STARK COUNTY INTERNAL MEDICINE INC N THOMAS A PERKOWSKI DO LTD N PREMIER GYNECOLOGY, INC.

5 N Danielle Kiko Md Llc. (Generation Women s Health) N Total Medical Care N FOUNDATION FOOT & ANKLE LLC N Nathan Samsa N ANDREW J. WHERLEY, , LTD. N UROLOGY ONE INC N ACO governing body: Member Member's Voting Power Membership Type ACO Participant TIN Legal Business name /DBA, if Applicable Last name First name Title/Position Mirande Melanie Chair Voting Member ACO Participant Family Medicine Inc McClain Brian Treasurer Voting Member ACO Participant Pinnacle Care Providers, LLC Remark Chris Member Voting Member ACO Participant Aultman Hospital Duffy Brendan Member Voting Member ACO Participant Ohio Physician Professional Corporation Johns James Member Voting Member ACO Participant Little Flower Practice James R.

6 Bruce Member Voting Member ACO Participant The Union Hospital Association Kelly Steven Member Voting Member ACO Participant Ohio Physician Professional Corporation O Toole Timothy Member Voting Member ACO Participant Canton Aultman Emergency Physicians Inc Sabota Robert Member Voting Member ACO Participant Internal Medicine Associates of Canton Inc Westerbeck John Member Voting Member ACO Participant West Medical Inc Musa Roger Member Voting Member ACO Participant Ohio Physician Professional Corporation Hart Robert Member Voting Member ACO Participant Holmes Family Medicine Inc Humble Lewis Member Voting Member ACO Participant Aultman Medical Group Inpatient Medicine Wilson James Member Voting Member ACO Participant Atrium OB/Gyn.

7 , Inc. Burrier Jeffrey Member Voting Member ACO Participant Union Physician Services LLC Zurick Andrew Member Voting Member Medicare Beneficiary Representative Roth Ed Member Voting Member Other Aultman Health Foundation Degenhard Anthony Member Voting Member Other Kidney & Hypertension Consultants Blocker Douglas Member Voting Member Other Children Physicians, Inc. Key ACO clinical and administrative leadership: Allison Oprandi ACO Executive Eric Newsom Medical Director Karen Wulff Compliance Officer Eric Newsom Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee name Committee Leader name and Position Performance Improvement & Quality James Johns, MD, Chair Finance & Contracting Brian McClain, MD, Chair Credentialing & Professional Standards Lewis Humble, MD, Chair Nominating Committee John Westerbeck, MD, Chair Types of ACO participants, or combinations of participants, that formed the ACO.

8 Networks of individual practices of ACO professionals Partnerships or joint venture arrangements between hospitals and ACO professionals Hospital employing ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2016, $0 Shared Savings Distribution First Agreement Period o Performance Year 2016 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 2016 Quality Performance Results: ACO# Measure name Rate ACO Mean ACO-1 CAHPS: Getting Timely Care, Appointments, and Information ACO-2 CAHPS: How Well Your Providers Communicate ACO-3 CAHPS: Patients' Rating of Provider ACO-4 CAHPS: Access to Specialists ACO-5 CAHPS: Health Promotion and Education 60 ACO-6 CAHPS: Shared Decision Making ACO-7 CAHPS: Health Status/Functional Status ACO-34 CAHPS.

9 Stewardship of Patient Resources ACO-8 Risk-Standardized, All Condition Readmission ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements ACO-39 Documentation of Current Medications in the Medical Record ACO-13 Falls: Screening for Future Fall Risk ACO-14 Preventive Care and Screening: Influenza Immunization ACO-15 Pneumonia Vaccination Status for Older Adults ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 ACO-18 Preventive Care and Screening.

10 Screening for Clinical Depression and Follow-up Plan ACO-19 Colorectal Cancer Screening ACO-20 Breast Cancer Screening ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control ACO-41 Diabetes: Eye Exam ACO-28 Hypertension (HTN): Controlling High Blood Pressure ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 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%) Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.