PUBLIC REPORTING

Quality Performance Results

Table 3. 2015 Quality Performance Results Table Template
2014 Reporting Year 2015 Reporting Year
Measure Number Measure Name Performance Rate Mean Performance rate (SSP - ACOs) Performance Rate Mean Performance rate (SSP - ACOs)
ACO1 CAHPS: Getting Timely Care, Appointments, and Information 77.62 80.13 82.59 80.11
ACO2 CAHPS: How Well Your Providers Communicate 91.02 92.39 92.23 92.41
ACO3 CAHPS: Patients’ Rating of Provider 92.9 91.58 93.42 91.69
ACO4 CAHPS: Access to Specialists 82.77 83.97 84.25 83.50
ACO5 CAHPS: Health Promotion and Education 56.91 58.29 61.75 58.98
ACO6 CAHPS: Shared Decision Making 75.27 74.6 77.88 74.80
ACO7 CAHPS: Health Status/Functional Status 66.16 71.1 68.94 71.92
ACO34 CAHPS: Stewardship of Patient Resources* 29.98 27.35
ACO8 Risk Standardized, All Condition Readmission 16.49 15.15 15.48 14.86
ACO35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)* Readmission 19.8 18.06
ACO36 All-Cause Unplanned Admissions for Patients with Diabetes* 66.74 54.57
ACO37 All-Cause Unplanned Admissions for Patients with Heart Failure* 91.26 76.96
ACO38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 71.71 62.92
ACO9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 1.42 1.08 1.24 1.11
ACO10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 1.04 1.19 0.97 1.04
ACO11 Percent of Primary Care Physicians who Successfully Meet Meaningful Use Requirements 65.22 76.71 68.61 80.50
ACO39 Documentation of Current Medications in the Medical Record* 90.31 84.07
ACO13 Falls: Screening for Future Fall Risk 18.28 45.6 70.6 56.59
ACO14 Preventive Care and Screening: Influenza Immunization 37.7 57.51 62.7 62.02
ACO15 Pneumonia Vaccination Status for Older Adults 14.07 55.03 59.65 63.78
ACO16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up 78.56 66.75 71.85 71.17
ACO17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84.42 86.79 89.82 90.25
ACO18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 25.3 39.37 68.59 45.33
ACO19 Colorectal Cancer Screening 32.03 56.14 45.41 60.04
ACO20 Breast Cancer Screening 44.58 61.41 53.75 65.65
ACO21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 76.04 60.24 68.64 70.04
ACO40 Depression Remission at Twelve Months* 33.33 6.13
ACO27^ Diabetes Mellitus: Hemoglobin A1c Poor Control 35.32 20.35 20.66 20.42
ACO41 Diabetes: Eye Exam* 32.94 41.14
ACO28 Hypertension: Controlling High Blood Pressure 64.94 68.02 66.6 69.61
ACO30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 53.6 80.79 87.74 83.81
ACO31 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 97.55 82.71 85.19 87.20
ACO33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 57.35 N/A 82.04 77.74

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

ACO Participants*

Reliance ACO Participants consist of a network of individual practices of ACO professionals:

  • Abdul Kabir
  • Advantage Health Services PLC
  • Airport Family Physicians LLC
  • Alan L Feldman DO PC
  • Allenwood Family Health Care, PC
  • Alliance Health Professionals PLLC
  • Alzohaili Medical Consultants, M.D., PC
  • Anil Kumar Patel
  • Asadulla Mohammed, M.D., PC
  • Ashok Prasad, MD PC
  • Associated Physicians Of Southeast Michigan PC
  • B.N. Nandish, M.D., PC, Inc.
  • Better Health PLLC
  • Bloomfield Medical Center, PLLC
  • Bruce A. Cassidy, D.O., PC
  • Commerce Internal Medicine, PC
  • David Leszkowitz DO PC
  • Dean Clinic, P.C.
  • Dearborn Family Clinic, PC
  • Dearborn Healthcare PC
  • Detroit Medical Group PLLC
  • Eastside Internal Medicine PC
  • George Nassif, M.D., PLLC
  • H. Daneshvar, M.D., PC
  • Hamtramck Medical Group, PC
  • Hartland Family Physicians PC
  • Infinity Primary Care LLC
  • Jay H. Sandberg D.O., P.C.
  • Jonathan E Pasko Md PC
  • Kamran F. Sheikh, M.D., PC
  • Kashif Qureshi, M.D., PC
  • Khalid Rao, M.D. P.C.
  • Lawrence M. Dell, M.D. PC
  • Legacy Family Medicine, PC
  • Macomb Physicians Group, PLLC
  • Maheshkumar Patel, M.D.
  • Maywood Medical and Industrial Clinic, Inc.
  • MD House Calls PLLC
  • Medical Associates, PC
  • Metro Shores Internal Medicine, PLLC
  • Michael G. Taylor, M.D. PLC
  • Michigan Medical Associates, PC
  • Michigan Medical Group, PC
  • Michigan Neurology Associates PC
  • Michigan Primary Care PLLC
  • Michigan Specialty Clinic PLLC
  • Mohamed Ayad MD, PC
  • Monroe Health Center LLC
  • Monroe Medical Associates PC
  • Muksi, LLC
  • Naila Ahmad Md PLC
  • Nizaamuddeen Toofanny, M.D., PLLC
  • North Valley Internal Medicine, P.C.
  • Nova Medica PLLC
  • Physician Healthcare Network, PC
  • Praveen Modi, MD, PC
  • Premier Medicine, PC
  • Prestige Health Services PLC
  • Pulsar Medical Associates PC
  • Pulsar Medical Group MD PC
  • Quadir Jaleel, M.D., PC
  • Quality Medical Group PLC
  • Quarry Physicians, PC
  • Raj & Associates, M.D., P.C.
  • Rochester Internists, PLLC
  • RSMD PLLC
  • Sami Abu Farha, M.D., PC
  • Sanjay Lakhani MD PC
  • Sherwood Medical Center, Inc
  • Slim Internal Medicine PLLC
  • Southfield Family Practice, PLLC
  • Southfield Internists PC
  • Steven J. Serra, D.O. P.C.
  • Surinder Mendiratta PLLC
  • Tanvir I. Qureshi, M.D., PC
  • Trenton Total Health Care Center PC
  • Universal Clinic and Urgent Care PC
  • Warren Gastroenterology, P.C.
  • Yeva Soskina, MD

ACO participants in joint ventures between ACO professionals and hospitals:
* No participants are involved in a joint venture between ACO professionals and hospitals

ACO Governing Body

Name Board Designation
Nazmul Haque CEO, ACO Participant, Bloomfield Medical Center, PLLC
Mohamed Siddique President, ACO Participant, Pulsar Medical Associates, PC
Neil Belgiano Treasurer, ACO Participant, North Valley Internal Medicine, PC
Opada Al-Zohaili Board Member, ACO Participant, Alzohaili Medical Consultants, M.D., PC
John Colombo Board Member, ACO Participant, Physician HealthCare Network, PC
Lawrence Dell Board Member, ACO Participant, Lawrence M. Dell, M.D., PC
Fadi Demashkieh Board Member, ACO Participant, Rochester Internists, PLC
Gordhan Diora Board Member, ACO Participant, Macomb Physicians Group, PLLC
Jerome Finkel Board Member, ACO Participant, Alliance Health Professionals, PLLC
Prakash Gandhi Board Member, ACO Participant, Raj & Associates, M.D., PC
Rasik Gandhi Board Member, Medicare Beneficiary
Amy Goldfaden Board Member, ACO Participant, Infinity Primary Care, LLC
Conrad Maitland Board Member, ACO Participant, Sherwood Medical Center, PC
Tedd March Board Member, ACO Participant, Monroe Medical Associates, LLC
Surinder Mediratta Board Member, ACO Participant, Surinder Mediratta, PLLC
Pratibha Modi Board Member, ACO Participant, Southfield Internists, PC
Asadulla Mohamed Board Member, ACO Participant, Asadulla Mohamed, M.D., PC
Mohammad Qazi Board Member, Other, Ciena Healthcare
Munzer Samad Board Member, ACO Participant, Muksi, LLC
Kamran Sheikh Board Member, ACO Participant, Kamran F. Sheikh, M.D., PC
Athar Siddiqui Board Member, ACO Participant, Medical Associates, PC
David Steinberger Board Member, ACO Participant, Infinity Primary Care, LLC
Edwin Stone Board Member, ACO Participant, M.D. House Calls, PLLC
Nabil Suliman Board Member, ACO Participant, Premier Medicine, PC
Najam Syed Board Member, ACO Participant, Michigan Medical Group, PC / Michigan Medical Associates, PC
Michael Taylor Board Member, ACO Participant, Michael G. Taylor, M.D., PLC

*All Board Members have voting capacity

Key ACO Clinical and Administrative Leadership:

CEO Dr. Nazmul Haque
President and Medical Director Dr. Mohamed Siddique
Regional Medical Director Dr. Jerome Finkel
Regional Medical Director Dr. Munzer Samad
Regional Medical Director Dr. Neil Belgiano
Compliance Director Lena Jefferson
Quality Committee Dr. Munzer Samad
IT Director Khalid Abdul
COO Gene Farber
Finance Director Bruce Feinberg
Legal Counsel Keith Soltis

Associated Committees and Committee Leadership:

Quality Assurance & Improvement Committee Dr. Mohamed Siddique, Chair

Shared Savings and Losses:

Performance Year 11 Performance Year 2014 Performance Year 2015 Performance Year 2016
Savings/Losses Not in operations $5,963,625 $0 Not yet determined
Distribution:
Distribution to ACO Participants Not in operations 21% ($100 per ACO assigned beneficiary) N/A Not yet determined
Distribution to Investors Not in operations 25% (92% of investors were ACO Participants) N/A Not yet determined
Reimbursement for Expenses Not in operations 30% N/A Not yet determined
Investment in Infrastructure Not in operations 24% N/A Not yet determined
Total Not in operations 100% N/A Not yet determined

1Performance Year 1 for Shared Savings Program ACOs includes a 21- or 18-month period for ACOs with 2012 start dates and a 12-month period for ACOs with 2013 start dates

Working together to provide better, more coordinated health care.