West Michigan ACO
An Accountable Care Organization
The West Michigan Accountable Care Organization, LLC (WM ACO) is a partnership of Michigan providers working together to provide better care for patients, better health for populations and lower overall health care costs.
What's an ACO?
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.
ACO Primary Contact
|
Primary Contact Name |
Laura Stuursma, ACO Executive Director |
|
Primary Contact Phone Number |
616.486.7474 |
|
Primary Contact Email Address |
laura.stuursma@spectrumhealth.org |
Organizational Information
|
ACO Participants |
|
Age Management of West Michigan |
|
A + Family Medicine PC |
|
Battiste Family Medicine PLC |
|
Big Rapids Orthopedics |
|
Breton Village Pediatrics & Family Medicine |
|
Charles Baker Jr. DO Family Practice |
|
Craig White DO PC |
|
David Barney |
|
David Barney PLLC |
|
David Crittenden MD PLLC |
|
David D. Tattan |
|
Domenico S Ausiello MD |
|
Downeast Medical Center LLC |
|
East Paris Internal Medicine |
|
Grand Valley Medical Specialists PLC |
|
Hastings Internal Medicine PLLC |
|
Internal Medicine & Pediatrics of West Michigan |
|
Internal Medicine of West Michigan |
|
Jeffrey Williamson DO PC – DBA Williamson Family Medicine |
|
John N. Campbell MD PC |
|
Joseph A Bruno MD PC |
|
Jupiter Family Medicine PC |
|
Kentwood Family Physicians PC |
|
L Michael Sterenberg DO PLLC |
|
Mark N Folkening MD PC |
|
Mark S O'Brien MD PLC |
|
Michael G. Marcotte MD PC |
|
Nasim Yacob |
|
Parchment Family Practice PC |
|
Partners in Family Health PLC |
|
Randall Street Medical PC |
|
Riverwood Family Medicine PC |
|
Soorya Sharma MD PC |
|
Spectrum Health Big Rapids |
|
Spectrum Health Big Rapids/Spectrum Health Big Rapids Hospital Family Medicine Canadian Lakes RHC |
|
Spectrum Health Big Rapids/Spectrum Health Big Rapids Hospital Family Medicine RHC |
|
Spectrum Health Big Rapids/Spectrum Health Big Rapids Hospital OB RHC |
|
Spectrum Health Gerber Memorial |
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Spectrum Health Gerber Memorial/Spectrum Health Family Medicine Grant RHC |
|
Spectrum Health Gerber Memorial/Spectrum Health Gerber Memorial Family Medicine Fremont |
|
Spectrum Health Gerber Memorial/Spectrum Health Medical Group Family Medicine Hesperia RHC |
|
Spectrum Health Gerber Memorial/Spectrum Health Medical Group Family Medicine Newaygo RHC |
|
Spectrum Health Gerber Memorial/Spectrum Health Medical Group Multi-specialty Clinic Fremont RHC (Peds) |
|
Spectrum Health Ludington Hospital |
|
Spectrum Health Ludington Hospital/Spectrum Health Hospital Family and Internal Medicine Ludington |
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Spectrum Health Ludington Hospital/Spectrum Health Hospital Family Medicine Pentwater |
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Spectrum Health Ludington Hospital/Spectrum Health Ludington Hospital Family Medicine Hart |
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Spectrum Health Ludington Hospital/Spectrum Health Ludington Hospital Family Medicine Ludington |
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Spectrum Health Ludington Hospital/Spectrum Health Ludington Hospital Internal Medicine Ludington |
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Spectrum Health Ludington Hospital/Spectrum Health Ludington Hospital Pediatrics Ludington |
|
Spectrum Health Medical Group |
|
Spectrum Health Pennock |
|
Spectrum Health Reed City Hospital |
|
Spectrum Health Reed City Hospital/Spectrum Health Reed City Hospital Evart Family Medicine RHC |
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Spectrum Health Reed City Hospital/Spectrum Health Reed City Hospital Multi-Specialty Clinic Reed City RHC |
|
Spectrum Health Reed City Hospital/Spectrum Health Reed City Hospital Tustin Family Practice RHC |
|
Spectrum Health United Hospital |
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Spectrum Health United Hospital/Spectrum Health United Hospital Belding Family Medicine |
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Spectrum Health United Hospital/Spectrum Health United Hospital Family Medicine and OB/GYN RHC |
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Spectrum Health United Hospital/Spectrum Health United Hospital Lakeview Family Medicine RHC |
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Spectrum Health United Hospital/Spectrum Health United Internal Medicine and Pediatrics Greenville |
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Spectrum Health Pennock/Spectrum Health Pennock Family Internal and Pediatric Medicine Hastings |
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Spectrum Health Pennock/Spectrum Health Pennock Family Medicine |
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Spectrum Health Pennock/Spectrum Health Pennock Family Medicine Gun Lake |
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Spectrum Health Pennock/Spectrum Health Pennock Family Medicine Ionia |
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Spectrum Health Pennock/Spectrum Health Pennock Family Medicine Middleville |
|
Standale Family Physicians |
|
West Michigan Family Health PC |
|
West Michigan Family Medicine, PC |
|
White Pine Family Medicine |
|
Willis F Gaffney MD PC |
ACO governing body:
|
Member |
Member's Voting Power –Expressed as a percentage or number |
Membership Type |
ACO Participant Legal Business Name/DBA, if Applicable |
||
|
Last Name |
First Name |
Title/Position |
|||
|
Osborne |
Theresa |
Chair |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
App |
Michael |
Vice-Chairman |
1 |
ACO Participant Representative |
Internal Medicine & Pediatrics of West Michigan |
|
Konopacki |
Paul |
Treasurer |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
Clark |
Randy |
Secretary |
1 |
ACO Participant Representative |
Riverwood Family Medicine PC |
|
Millet |
John |
Voting Member | 1 | ACO Participant Representative |
West Michigan Family Medicine PC |
|
Quiroga-Chand |
Alejandro |
Voting Member |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
Shah |
Rima |
Voting Member |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
Gordon |
Kim |
Voting Member |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
Schreur |
Mike |
Voting Member |
1 |
Medicare Beneficiary Representative |
N/A |
Key ACO clinical and administrative leadership:
|
Laura Stuursma |
ACO Executive Director |
|
Theresa Osborne, MD |
Medical Director |
|
Leah Voight |
Compliance Officer |
|
Leslie Cammenga |
Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
|
Committee Name |
Committee Leader Name and Position |
|
Clinical Integration and Patient Experience Committee |
Dr. Pam Zelasko, Co-Chair and Dr. Kris Brenner, Co-Chair |
|
IT/data/analytics Committee |
Dr. Bob Jarve, Co-Chair and Dr. John LaGrand, Co-Chair |
|
Finance and Operations Committee |
Mr. Paul Konopacki, Co-Chair and Mr. Tom Janda, Co-Chair |
|
|
|
Types of ACO participants, or combinations of participants, that formed the ACO:
Networks of individual practices of ACO Professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2019, $0
Shared Savings Distribution
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure and redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 75%
Quality Performance Results
2019 Quality Performance Results:
|
ACO # |
Measure Name |
Rate |
ACO Mean |
|
ACO-4626 |
ACO-1 Getting Timely Care, Appointments, and information |
85.1 |
86.4 |
|
ACO-4626 |
ACO-2 How Well Your Provider Communicate |
94.5 |
93.8 |
|
ACO-4626 |
ACO-3 Patients’ Rating of Providers |
93.2 |
92.5 |
|
ACO-4626 |
ACO-4 Access to Specialist |
79.4 |
82.0 |
|
ACO-4626 |
ACO-5 Health Promotion and Education |
62.0 |
60.7 |
|
ACO-4626 |
ACO-6 Shared Decision Making |
67.3 |
62.5 |
|
ACO-4626 |
ACO-7 Health Status and Functional Status |
75.6 |
73.4 |
|
ACO-4626 |
ACO-34 Stewardship of Patient Resources |
24.4 |
26.1 |
|
ACO-4626 |
ACO-45 Courteous and Helpful Office Staff |
94.2 |
92.5 |
|
ACO-4626 |
ACO-46 Care Coordination |
86.9 |
86.4 |
|
ACO-4626 |
ACO-8 Risk-Standardized |
14.3 |
14.8 |
|
ACO-4626 |
ACO-38 All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions |
54.2 |
58.3 |
|
ACO-4626 |
ACO-43 Ambulatory Sensitive Condition Acute Composite |
1.35 |
1.86 |
|
ACO-4626 |
ACO-13 Falls: Screening for Future Fall Risk |
84.6 |
84.3 |
|
ACO-4626 |
ACO-14 Preventive Care and Screening: Influenza Immunization |
79.5 |
76.2 |
|
ACO-4626 |
ACO-17 Preventive Care and Screening: Tobacco Use-Screening and Cessation Intervention |
54.2 |
79.6 |
|
ACO-4626 |
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
89.5 |
72.7 |
|
ACO-4626 |
ACO-19 Colorectal Cancer Screening |
79.2 |
72.3 |
|
ACO-4626 |
ACO-20 Breast Cancer Screening |
85.9 |
74.7 |
|
ACO-4626 |
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
87.4 |
82.1 |
|
ACO-4626 |
ACO-40 Depression Remission at Twelve Months |
8.5 |
14.0 |
|
ACO-4626 |
ACO-27 Diabetes: Hemoglobin A1c Poor Control |
13.8 |
13.6 |
|
ACO-4626 |
ACO-28 Controlling High Blood Pressure |
76.3 |
76.4 |
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612(f) and 42 CFR 425.613.
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.