Aurora Accountable Care Organization

ACO Name and Location

Aurora Accountable Care Organization LLC (AACO)
750 W. Virginia Street
Milwaukee Wisconsin 53204

ACO Primary Contact

Organizational Information

  • ACO participants:
    1. Lakeshore Medical Clinic, Ltd 
    2. Aurora Advanced Healthcare, Inc.
  • ACO participants in joint ventures between ACO professionals and hospitals:
    • None
  • ACO governing body [PDF]

  • Key ACO clinical and administrative leadership:
    1. ACO Executive: Gary Stuck, DO, FAAFP
    2. Medical Director: Sarang Baman, MD
    3. Compliance Officer: Benita Anderson
    4. Quality Improvement Officer: Mary Kay Peterson
  • Associated committees and committee leadership:
    1. Management Committee: Scott Fenske, MD, Chair
    2. Quality Committee: Mary Kay Peterson, Chair
    3. Medical Group Compliance Committee: Benita Anderson, Chair
  • Types of ACO participants, or combinations of participants, that formed the ACO:
    1. ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $1,601,878
    • Performance Year 2017, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: 45.5%
      • Proportion invested in redesigned care processes/resources: 49.5%
      • Proportion of distribution to ACO participants: 5.0%
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.28 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.17 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 93.65 92.45
ACO-4 CAHPS: Access to Specialists 81.24 81.50
ACO-5 CAHPS: Health Promotion and Education 61.00 59.26
ACO-6 CAHPS: Shared Decision Making 62.83 61.94
ACO-7 CAHPS: Health Status/Functional Status 73.46 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 26.36 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.49 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.51 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 40.20 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 89.25 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 71.47 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.25 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation Post-Discharge 95.45 85.91
ACO-13 Falls: Screening for Future Fall Risk 89.38 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 82.35 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 93.70 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 94.43 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 80.43 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 67.21 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 86.84 66.74
ACO-19 Colorectal Cancer Screening 77.49 68.27
ACO-20 Breast Cancer Screening 83.89 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.71 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.20 15.51
ACO-41 Diabetes: Eye Exam 53.20 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 77.78 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 90.23 88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Aurora Accountable Care Organization LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3224 in the public use files on data.cms.gov.

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.
  • Waiver for Payment for Telehealth Services:
    • Yes, our ACO clinicians do provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.