ACO Name and Location - pom-aco.com

1 ACO name and Location Physician Organization of Michigan ACO, LLC 400 North Ingalls Room G148 Ann Arbor, Michigan 48109-5481 ACO Primary Contact Primary Contact name Terrisca Des Jardins Primary Contact Phone Number 734-232-1482 Primary Contact Email Address Organizational Information ACO participants: ACO Participants ACO Participant in Joint Venture (Enter Y or N) Soorya Sharma MD PC N DO CARE PLC N Parchment Family Practice PC N Center for Digestive Care LLC Y Donna J. Tal, , N Medical Office Of John Vassallo Md N Rebecca Patrias, MD N Josephine Iskander N Agha Internal Medicine Associates, PC N Livingston Internal Medicine PC N Toni Ballitch Trate Do Pc N Cadillac After Hours Clinic PLLC N Clarence Richard Barnett Md Plc N Mazen Sabbaq N Browne Medical PLC N McBain Family Chiropractic Center, PC N Grand Rapids Women's Health, PC N Bluesky Health, PLLC N Ankle & Foot Associates Of Northern Michigan Pc N St.

2 Mary Mercy Physician Practices N John D Parmely DO PC N Ronald P. Adelman DPM, PLLC N L Michael Sterenberg DO PLLC N Chowdhury MD PLLC N Michael D. ReBock DO PLC N Ghabsha, MD - PLLC N Chelsea Professional Services N Josephine Iskander, MD PLLC N Edith Nemeth, N T & J Family Medical Associates PLLC N SJMHS Livingston Orthopedic Surgical Group N Primary Care Specialists PC N Pamela J Hackl DO PLC N Ronald Vanderlaan, Md, Pllc N Nancy F Mansour-Habib MD PC N Fowlerville Medical Center Plc N Comprehensive Health Care Associates and Prevention Medicine N Ayad Jazrawi N Rama Mulpuri Y Sheldon Gonte MD N Gregory Lambourne N James Crowl N MidMichigan Medical Center-Midland Y St Marys of Michigan Y Otsego Memorial Hospital N MidMichigan Medical Center-Gratiot Y St Joseph Health System Inc Y Standish Community Hospital Inc Y Huron Valley Radiology, N Carl E Lipnik MD PC N Huron Ophthalmology, Y Brooks Lyon & Brooks Do Pc N Muaiad Shihadeh MD PC N Harris W.

3 Mainster, N Kathleen Knapp Do Pc N Huron Gastroenterology Associates N Gastrointestinal Specialists PC N Gastroenterology Specialist PC N Michigan Otolaryngology Surgery N Midmichigan Health Services Y Gregory Lambourne N Rochester Knee and Sports Medicine PC N Western Michigan Bone & Joint Surgeons PC N Packard Health, Inc. N KP Karunakaran MD PC Y Paul DeWitt Jr. MD N Cardiology Associates of Birmingham PC N Catherine McAuley Health Services Corp N Michigan Pain Consultants, PC N James Crowl N Lafond Medical P C N Morang Chester Clinic P C N Joseph Bruno MD PC N Mohammed Wael Al-Meri, , N Heart Care, N William F Murray MD PC N Family Medicine PC N Creekside Vision & Hearing, Plc N Lewis & McCorry PC N Associates in Physical Medicine & Rehabilitation, N Ann Arbor Endocrinology And Diabetes Associates, N Bradley E Seel DPM PC N Riverwood Family Medicine PC N Mark S Obrien Md Plc N Forest Hills Podiatry Pc N Sheldon Gonte MD N Kiley Chiropractic Life Center N Robert O.

4 Go, , N Mark W Sawka MD PC N Center for Plastic & Reconstructive Surgery, N IHA Health Services Corporation N Naser N Sukhon MD PC N Craig J Gordon, , N EPMG of Michigan PC N Michigan Pain Institute, N Badhwar Associates Inc N Cadillac Chiropractic Center PC N Corrine L Adler Do Pc N Partners In Family Health Plc N Levan Internists PC N Pulmonary, Critical Care & Sleep N Immediate Care Medical Center PC N Brian R. Drabik DO PC N Adrian Sheremeta MD PC N Dr. Jeff Y The N Chelsea Medicine & Laser, PLLC N John P Lagrand M D P C N Ibtihaj Rajoulh, , Y Downriver Internal Medicine Assoc N Arthur R Jeynes DPM, PC N Southeast Internal Medicine PLLC N Randall Street Medical PC N Michigan Family Physicians PC N Marcia Vanderbroek Do Pc N Advanced Orthopedic Specialists, PC N Croswell Podiatry PLLC N Laura E. Babe, , N Vascular & Endovascular Associates PLC N Marcia Vanderbroek N REGENTS OF THE UNIVERSITY OF MICHIGAN N Ahmad Shahbandar N Michigan Orthopaedic Spine Surgeons PC N Cherry Hill Village Family Medicine N Laura K Ganger, , N Becky J Smith DO PC N Heart and Vascular Specialists PC N Comorin Kidneycare, PLLC N Kent Podiatry N West Michigan Family Health, PC N Northern Michigan Endocrine Pllc N Emmaus Health PLLC N Shehada MD PLLC N Emad Shehada N Caritas Center for Womens Health, N Rama C Mulpuri MD PLLC Y Brighton Family Physicians PC N Huron River Radiation Oncology Specialists, N David Fivenson MD Dermatology PLLC N Loney Chiropractic, PC N Mary Lee MD PC N A Bahjat Shahbandar MD PC N Alpine Family Podiatry PC N Dr David W Mansky DPM, PC N Dr.

5 Jack A Dekkinga MD PC N Gursharn S. Dosanjh MD PC N Maine Medical Center Plc N Renal Associates of West Michigan PC N Thornapple Ophthalmology Thornapple Ophthalmology Assoc PC N Thornapple Valley Family Physicians PC 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 Bernstein Steven Voting Member 1 ACO Participant Regents of the University of MichiganBickle Randall Compliance Officer/Voting Member 1 ACO Participant St. Mary Mercy Physician Practices Botz Patrick Voting Member 1 ACO Participant St.

6 Mary s of Michigan Brausa Brian Voting Member 1 ACO Participant Ankle & Foot Associates of Northern Michigan Pc Clark Randall Voting Member 1 ACO Participant Riverwood Family Medicine PC Jandwani Pankaj Voting Member 1 ACO Participant MidMichigan Medical Center-Gratiot Mansabdar Madhura Vice-Chair /Voting Member 1 Other Physician Organization Representative MidMichigan Medical Center Gratiot Mee Robert Voting Member 1 ACO Participant Otsego Memorial Hospital Monroe Gregory Voting Member 1 ACO Participant St.

7 Mary Mercy Physician Practices Norris Kimberly Secretary/Voting Member 1 ACO Participant Creekside Vision & Hearing PLC Nugent Bev Treasurer/Voting Member 1 Other Physician Organization Representative N/A Peterson Timothy Chairman/ACO Director/Voting Member 1 ACO Participant Regents of the University of MichiganSalameh Mohammad Voting Member 1 ACO Participant IHA Health Services Corporation Sanfield Jeffrey Voting Member 1 ACO Participant Ann Arbor Endocrinology and Diabetes Associates, Sawka Mark Voting Member 1 ACO Participant Mark W Sawka MD PC Silver Scott Voting Member 1 ACO Participant Vascular & Endovascular Associates, PLC Tobar, Jr.

8 Rodrigo Voting Member 1 ACO Participant Family Medicine PC Walsh Martha Executive Medical Director/Voting Member 1 ACO Participant IHA Health Services Corporation Ziegler Georgiann Medicare Beneficiary Representative 1 Medicare Beneficiary Representative N/A Key ACO clinical and administrative leadership: Timothy Peterson ACO Executive Marti Walsh Medical Director Randall Bickle Compliance Officer Marti Walsh Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee name Committee Leader name and Position Clinical Management and Oversight Marti Walsh, MD, Chair Compliance Randall Bickle, MD, JD, Chair IT & Clinical Decision Support Sandeep Vijan, MD, Chair Operations and Finance Jeni Hughes, Chair Medicare Beneficiary Georgiann Ziegler, Chair Types of ACO participants, or combinations of participants, that formed the ACO.

9 ACO professionals in a group practice arrangement Networks of individual practices of ACO professionals Partnerships or joint venture arrangements between hospitals and ACO professionals A federally qualified health center (FQHC) A rural health center (RHC) Shared Savings and Losses Amount of Shared Savings/Losses Second Agreement Period o Performance Year 2016, $0 First Agreement Period o Performance Year 2015, $0 o Performance Year 2014, $12,075,693 o Performance Year 2013, $0 Shared Savings Distribution Second 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 First Agreement Period o Performance Year 2015 Proportion invested in infrastructure: N/A Proportion invested in redesigned care processes/resources: N/A Proportion of distribution to ACO participants: N/A o Performance Year 2014 Proportion invested in infrastructure: 50% Proportion invested in redesigned care processes/resources: 15% Proportion of distribution to ACO participants: 35% o Performance Year 2013 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.

10 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 ACO-6 CAHPS: Shared Decision Making ACO-7 CAHPS: Health Status/Functional Status ACO-34 CAHPS: 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 Condition 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 ACO-18 Preventive Care and Screening.