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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 2017, $0
    • 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 2017
      • 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 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​

2017 Quality Performance Results

 

 
ACO#
​Measure Name Rate ACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information 83.21 80.60
ACO-2CAHPS: How Well Your Providers Communicate 93.30 93.13
ACO-3CAHPS: Patients' Rating of Provider 93.04 92.31
ACO-4CAHPS: Access to Specialists 86.23 83.32
ACO-5CAHPS: Health Promotion and Education 61.88 62.30
ACO-6CAHPS: Shared Decision Making 74.96 75.85
ACO-7CAHPS: Health Status / Functional Status 74.66 73.05
ACO-34CAHPS: Stewardship of Patient Resources 24.94 25.68
ACO-8Risk Standardized, All Condition Readmissions 14.67 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission Measure (SNFRM)17.58 18.46
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes 57.84 53.95
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure 75.35 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 60.85 61.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.87 1.93
ACO-11Use of Certified EHR Technology 100 98.48
ACO-12 Medication Reconciliation 85.37 75.32
ACO-13Falls: Screening for Future Fall Risk 95.74 74.38
ACO-44Imaging Studies for Low Back Pain 62.94 67.32
ACO-14Preventive Care and Screening: Influenza Immunization 82.07 72.52
ACO-15Pneumonia Vaccination Status for Older Adults 91.68 72.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up 60.76 70.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99.02 90.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 87.88 61.98
ACO-19Colorectal Cancer Screening 80.03 64.58
ACO-20Breast Cancer Screening 84.25 70.05
ACO-42​​Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.37 79.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control7.9116.74
ACO-41Diabetes: Eye Exam 59.09 50.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure 83.36 71.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or other Antithrombotic 95.34 86.86

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.