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 
  • 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 2017, $0

Shared Savings Distribution

  • First Agreement Period
    • 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

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 84.16 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.36 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 93.01 92.31
ACO-4 CAHPS: Access to Specialists 82.95 83.32
ACO-5 CAHPS: Health Promotion and Education 57.46 62.30
ACO-6 CAHPS: Shared Decision Making 75.40 75.85
ACO-7 CAHPS: Health Status/Functional Status 74.07 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 22.49 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.79 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.31 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 87.29 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 75.94 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.47 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 97.24 75.32
ACO-13 Falls: Screening for Future Fall Risk 82.71 74.38
ACO-44 Imaging Studies for Low Back Pain 69.05 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 95.18 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 93.29 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 23.65 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99.51 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 72.69 61.98
ACO-19 Colorectal Cancer Screening 75.27 64.58
ACO-20 Breast Cancer Screening 81.10 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.44 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 8.93 16.74
ACO-41 Diabetes: Eye Exam 50.00 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 83.61 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 89.07 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

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 A64119 in the public use files on