Union Health

Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program. ACOs, work with Medicare to find new ways to provide you with the highest quality of medical care. 

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.

ACO Name and Location:

Union Health ACO
1606 N. 7th St.
Terre Haute, IN 47082

ACO Primary Contact:

Lennie Wilson
This email address is being protected from spambots. You need JavaScript enabled to view it.
(812) 238-4704

Organizational Information:

ACO participants:

  • Union Hospital, Inc.
  • Union Associated Physicians Clinic, LLC
  • Providence Medical Group, LLC
  • Cork Medical Center
  • Clay City Center For Family Medicine
  • Valley Professionals Community Health Center, Inc.

ACO participants in joint ventures between ACO professionals and hospitals:

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

ACO Governing Body:

  • Steve Holman, ACO Chairperson, Union Hospital
  • Steve McDonald, M.D., ACO Provider/Supplier, Valley Professionals
  • George Bittar, M.D. ACO Provider/Supplier, Providence Medical Group
  • Hans Andreasen, M.D. ACO Provider/Supplier, Union Associated Physicians Clinic
  • Terry Warren, ACO Provider/Supplier, Valley Professionals
  • John Bolinger, D.O. ACO Provider/Supplier, Union Hospital
  • Douglas Gillespie, M.D., ACO Provider/Supplier, Union Hospital
  • John Dinkel, Medicare Beneficiary Representative
  • Wayne Hutson, ACO Participant, Union Hospital

Key ACO clinical and administrative leadership:

  • ACO Executive, Lennie Wilson
  • Medical Director, Douglas Gillespie, M.D.
  • Compliance Officer, Lori Moon
  • Quality Assurance/Improvement Officer, Debbie Stuck

Associated committees and committee leadership

  • Chair, Professional Services Committee, John Bolinger, D.O.
  • Chair, Finance and Operations Committee, Wayne Hutson

Types of ACO participants or combinations of participants that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Network of individual practices of ACO professionals
  • Partnership or joint venture arrangement between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Agreement period beginning Year 1, Performance Year 1: $0
  • Agreement period beginning Year 1, Performance Year 2014: $0
  • Agreement period beginning Year 1, Performance Year 2015: $0

Shared Savings Distributions

  • Agreement period beginning Year 1, Performance Year 1: $0
  • Agreement period beginning Year 1, Performance Year 2014: $0
  • Agreement period beginning Year 1, Performance Year 2015: $0

Quality Performance Results

2015 Reporting Period
Measure Number Performance Measure ACO Performance Rate Mean Performance Rate (SSP ACOs)
ACO-1CAHPS: Getting Timely Care, Appointments, and Information 86.0280.61
ACO-2CAHPS: How Well Your Providers Communicate 94.1892.65
ACO-3CAHPS: Patients’ Rating of Provider 93.8191.94
ACO-4CAHPS: Access to Specialists 85.1783.61
ACO-5CAHPS: Health Promotion and Education55.0659.06
ACO-6CAHPS: Shared Decision Making 74.6475.17
ACO-7CAHPS: Health Status/Functional Status 71.7572.3
ACO-34CAHPS: Stewardship of Patient Resources 33.6426.87
ACO-8 [3]Risk Standardized, All Condition Readmission14.8714.86
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.7918.07
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes58.8354.6
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure83.6676.96
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions66.4462.92
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)1.311.11
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)1.041.04
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements10.7622
ACO-39Documentation of Current Medications in the Medical Record0.87990.8407
ACO-13Falls: Screening for Future Fall Risk 0.68990.5646
ACO-14Preventive Care and Screening: Influenza Immunization0.72610.6203
ACO-15Pneumonia Vaccination Status for Older Adults0.71990.6373
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up0.51690.7115
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention0.94230.9016
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan0.55210.4525
ACO-19Colorectal Cancer Screening0.70680.6006
ACO-20Breast Cancer Screening0.65350.6567
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0.74260.7004
ACO-40Depression Remission at Twelve Months00.0611
Diabetes CompositeDiabetes Composite (All or Nothing Scoring)0.45970.3538
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control 0.16110.2038
ACO-41Diabetes: Eye Exam0.50340.4105
ACO-28Hypertension: Controlling High Blood Pressure 0.74170.6962
ACO-30Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic0.93590.8382
ACO-31Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)0.95420.8722
ACO-33Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)0.81580.7773
CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease
*= Measure required beginning Reporting Year 2015.
N/A= Reporting on the depression remission measure is not required for 2015, as indicated by N/A

 


2012-2014 Performance Summary Statistics
    2012 Reporting Period 2013 Reporting Period 2014 Reporting Period
Measure Number Performance Measure ACO Performance Rate Mean Performance Rate for All ACOs ACO Performance Rate Mean Performance Rate for All ACOs ACO Performance Rate Mean Performance Rate for All ACOs
(ACO-1)​Getting Timely Care, Appointments, and Information not in operations​not in operations​not in operations​not in operations​83.04​80.13
(ACO-2)​How Well Your Doctors Communicate not in operations​not in operations​not in operations​not in operations​92.86​92.39
(ACO-3)​Patients’ Rating of Doctor not in operations​not in operations​not in operations​not in operations​92.75​91.58
(ACO-4)​Access to Specialistsnot in operations​not in operations​not in operations​not in operations​87.42​83.97
(ACO-5) ​Health Promotion and Education not in operations​not in operations​not in operations​not in operations​51.09​58.29
(ACO-6)​Shared Decision Making not in operations​not in operations​not in operations​not in operations​72.97​74.6
(ACO-7)​Health Status/Functional Status not in operations​not in operations​not in operations​not in operations​72.92​71.1
(ACO-8)​Risk Standardized, All Condition Readmissions not in operations​not in operations​14.59​14.9​15.36​15.15
(ACO-9)​ASC Admissions: COPD or Asthma in Older Adults not in operations​not in operations​1.36​1.17​1.15​1.08
(ACO-10)​ASC Admission: Heart Failure not in operations​not in operations​1.17​1.2​0.95​1.19
(ACO-11)​Percent of Primary Care Providers who Qualified for EHR Incentive Payment not in operations​not in operations​0.72​0.6621​0.7857​0.7671
(ACO-12)​Medication Reconciliation not in operations​not in operations​not in operations​not in operations​99.7​82.61
(ACO-13)​Falls: Screening for Fall Risk not in operations​not in operations​not in operations​not in operations​42.62​45.6
(ACO-14)​Influenza Immunization not in operations​not in operations​not in operations​not in operations​62.44​57.51
(ACO-15)​Pneumococcal Vaccination not in operations​not in operations​not in operations​not in operations​62.77​55.03
(ACO-16)​Adult Weight Screening and Follow-up not in operations​not in operations​not in operations​not in operations​49.34​66.75
(ACO-17)​Tobacco Use Assessment and Cessation Intervention not in operations​not in operations​not in operations​not in operations​98.01​86.79
(ACO-18)​Depression Screening   not in operations​not in operations​not in operations​not in operations​41​39.27
(ACO-19)​Colorectal Cancer Screening not in operations​not in operations​not in operations​not in operations​57.68​56.14
(ACO-20)​Mammography Screening not in operations​not in operations​not in operations​not in operations​65.3​61.41
​Proportion of Adults who had blood pressure screened in past two yearsnot in operations​not in operations​not in operations​not in operations​99.67​60.24
​Beneficiaries with diabetes who met all of the following criterianot in operations​not in operations​not in operations​not in operations​28.97​25.41
(ACO-22)​Hemoglobin A1c Control (HbA1c) (<8 percent) not in operations​not in operations​not in operations​not in operations​72.52​N/A
(ACO-23)​Low Density Lipoprotein (LDL) (< 100 mg/dL) not in operations​not in operations​not in operations​not in operations​55.3​N/A
(ACO-24)​Blood Pressure (BP) < 140/90 not in operations​not in operations​not in operations​not in operations​69.04​N/A
(ACO-25)​Tobacco Non-Use not in operations​not in operations​not in operations​not in operations​96.19​N/A
(ACO-26)​Aspirin Use     not in operations​not in operations​not in operations​not in operations​89.6​N/A
(ACO-27)​Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) not in operations​not in operations​not in operations​not in operations​16.56​20.35
(ACO-28)​Percent of beneficiaries with hypertension whose BP < 140/90 not in operations​not in operations​not in operations​not in operations​67.7​68.02
(ACO-29)​Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl not in operations​not in operations​not in operations​not in operations​47.8​57.29
(ACO-30)​Percent of beneficiaries who use Aspirin or other antithrombotic not in operations​not in operations​not in operations​not in operations​88.51​80.79
(ACO-31)​Beta-Blocker Therapy for LVSD not in operations​not in operations​not in operations​not in operations​95​82.71
​Percent of beneficiaries with CAD who met all of the following criterianot in operations​not in operations​not in operations​not in operations​62.3​66.9
(ACO-32)​Drug Therapy for Lowering LDL-Cholesterol   not in operations​not in operations​not in operations​not in operations​67.38​N/A
(ACO-33)​(ACE) Inhibitor or (ARB) Therapy for Patients with CAD and Diabetes and/or (LVSD)not in operations​not in operations​not in operations​not in operations​80​N/A
Note: ASC = ambulatory sensitive conditions, COPD = chronic obstrucitve pulmonary disease,, HER = electronic health record, IVD = ischemic vascular disease, LVSD = left ventricular systolic aysfunction, ACE = angiotensin-inverting eznyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

 

For more information on how to interpret scores on the above quality performance measures, see:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf​