ACO Public Reporting Information for Southern Illinois

ACO Name & Location

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

Lisa Crouch

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.