ACO Public Reporting Information for Southern Illinois

ACO Name & Location

SSM IL ACO, LLC
12800 Corporate Hill
St. Louis, MO 63131

Lisa Crouch
618-436-8564
Email: lisa.crouch@ssmhealth.com

ACO Participants	ACO Participant in Joint Venture
Physicians Services Corporation of Southern IL, Inc. (SSM Health Medical Group)	Y
County of Clay (Clay County Hospital)	Y
Washington County Hospital District (Washington County Hospital)	Y

Member First Name	Member Last Name	Member Title or Position	Member's Voting Power (expressed as a percentage)	Membership Type	ACO Participant Legal Business Name and D/B/A, if applicable
Mark	Webber	Voting Member & Chair, SSM Health	14.3%	ACO Participant Representative	Physicians Services Corporation of Southern IL, Inc. (SSM Health Medical Group)
Sudeep	Nair, MD	Voting Member	14.3%	ACO Participant Representative	Physicians Services Corporation of Southern IL, Inc. (SSM Health Medical Group)
Vinay	Bhooma, MD	Voting Member	14.2%	ACO Representative	Physicians Services Corporation of Southern IL, Inc. (SSM Health Medical Group)
Ralph	Latta, MD	Voting Member	14.3%	ACO Participant Representative	Physicians Services Corporation of Southern IL, Inc. (SSM Health Medical Group)
Brandon	Cycholl, MD	Voting Member	14.3%	ACO Participant Representative	County of Clay (Clay County Hospital)
Ginger	Fewell, MD	Voting Member	14.3%	ACO Participant Representative	Washington County Hospital District (Washington County Hospital)
Beth	Likens	Voting Member	14.3%	Medicare Beneficiary Representative	N/A

Committee Name	Committee Leader Name & Position
Finance Committee	John Snodsmith, CFO, Regional Vice President of Finance
Quality Assurance and Improvement Committee	Lisa Crouch, RN, Value Based Contracts Director, Quality Assurance/Improvement Officer
Compliance Committee	Angela Distler, Director Corporate Responsibility, Compliance Officer

Second Agreement Period
- Performance Year 2024
  - Proportion invested in infrastructure: 60%
  - Proportion invested in redesigned care processes/resources: 0%
  - Proportion of distribution to ACO participants: 40%
Second Agreement Period
- Performance Year 2023
  - Proportion invested in infrastructure: 60%
  - Proportion invested in redesigned care processes/resources: 0%
  - Proportion of distribution to ACO participants: 40%
Second Agreement Period
- Performance Year 2022
  - Proportion invested in infrastructure: 60%
  - Proportion invested in redesigned care processes/resources: 0%
  - Proportion of distribution to ACO participants: 40%
Second Agreement Period
- Performance Year 2021
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 15%
  - Proportion of distribution to ACO participants: 70%
Second Agreement Period
- Performance Year 2020
  - Proportion invested in infrastructure: 36%
  - Proportion invested in redesigned care processes/resources: 14%
  - Proportion of distribution to ACO participants: 50%

Quality performance results are based on eCQMs/MIPs collection type.

Measure #	Measure Title	Collection Type	Performance Rate	Current Year Mean Performance Rate (Shared Savings Program ACO)
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.153	0.1517
484	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	-	37
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	eCQM	29.18	28.16
134	Preventative Care and Screening: Screening for Depression and Follow-Up Plan	eCQM	83.26	54.68
236	Controlling High Blood Pressure	eCQM	72.65	71.39
321	CAHPS for MIPS	CAHPS for MIPS Survey	7.11	6.67
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	82.53	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.28	93.96
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	92.25	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	79.57	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	66.75	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	64	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	71.62	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	84.79	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	93.54	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	30.53	26.98

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.