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Marshfield Clinic Named An Accountable Care Organization

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​ACO Name and Location

Marshfield Clinic, Inc.
1000 North Oak Avenue
Marshfield, Wisconsin 54449


ACO Primary Contact

Dr. Kori Krueger
krueger.kori@marshfieldclinic.org​ 
715-387-5535


Organizational Information

ACO Participants:

Marshfield Clinic, Inc.

ACO Participants in Joint Ventures:

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body:

Dr. Ivan Schaller, Chairperson

Dr. Edward Fernandez, Vice Chairperson

Dr. Alpa Shah, Secretary

Dr. Matthew Thomas, Treasurer

Dr. Timoth​y Wengert, Board Member

Dr. Sushma Thappeta, Board Member

Dr. Kent​ Ray, Board Member

Dr. Seth Fagbemi, Board Member

Dr. Elvis Peter, Board Member

Dr. Richard Fossen, Board Member

Dr. Neelakantan Namboodiri​Board Member

Key ACO Clinical and Administrative Leadership:

Dr. Kori Krueger, ACO Executive

Dr. Kori Krueger, Medical Director

Donna Andrew, Compliance Officer

Tammy Simon, Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

ACO Patient Advisory Committee: Dr. Ivan B. Schaller, Chair

MCHS Audit Committee: Bernie Patterson, Chair

Integrity and Compliance Committee: Donna Andrew, Chair

Salary Advisory Committee: Dr. Roderick D. Koehler, Chair

Types of ACO Participants, or Combinations of Participants, that formed the ACO:

ACO professionals in a group practice arrangement​​​​


Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution

  • Second Agreement Period
    • 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
    • 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
    • Performance Year 2014
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • 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-1CAHPS: Getting Timely Care, Appointments, and Information 81.8380.51
ACO-2CAHPS: How Well Your Providers Communicate92.8 93.01
ACO-3CAHPS: Patients' Rating of Provider92.1692.25
ACO-4CAHPS: Access to Specialists 87.6683.49
ACO-5CAHPS: Health Promotion and Education 62.660.32
ACO-6CAHPS: Shared Decision Making 75.7675.40
ACO-7CAHPS: Health Status / Functional Status73.6572.30
ACO-34CAHPS: Stewardship of Patient Resources17.126.97
ACO-8Risk Standardized, All Condition Readmissions 14.28 14.70
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission Measure (SNFRM)18.1618.17
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes51.9153.20
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure70.6375.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions55.5759.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 10.35 9.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) ​14.61 14.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements 100 82.72
ACO-39Documentation of Current Medications in the Medical Record61.59 87.54
ACO-13Falls: Screening for Future Fall Risk96.11 64.04
ACO-14Preventive Care and Screening: Influenza Immunization79.968.32
ACO-15Pneumonia Vaccination Status for Older Adults90.8469.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up75.5374.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention98.9590.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan89.7453.63
ACO-19Colorectal Cancer Screening (ACO-19) 77.5461.52
ACO-20Breast Cancer Screening81.9867.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented74.7576.79
ACO-42​​Statin Therapy for the Prevention and Treatment of Cardiovascular Disease78.3177.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control8.7518.24
ACO-41Diabetes: Eye Exam*63.1244.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure83.8870.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or other Antithrombotic89.43 85.05
ACO-31Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)95.86 88.67
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%)88.37 79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.   

Note: In the Quality Performance Results file(s) above, search for "Marshfield Clinic, Inc." to view the quality performance results. This ACO can also be found by using the ACO ID A80267 in the public use files on data.cms.gov.


Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.