Adena Healthcare Collaborative

Adena Healthcare Collaborative, LLC

ACO Contact Information

ACO Name and Location

Adena Healthcare Collaborative, LLC
272 Hospital Road
Chillicothe, OH 45601

ACO Primary Contact

Joseph Zakrzewski
740-779-7398
jzakrzewski@adena.org

ACO Organizational Information

Key ACO clinical and administrative leadership:

ACO Executive: Joseph Zakrzewski
Medical Director: Justin Smith, MD
Compliance Officer: Kristin Boggs
Quality Assurance/Improvement Officer: Jessica Parsons

ACO participants:

ACO Participants: Adena Medical Group, LLC
ACO Participant in Join Venture: N

Types of ACO participants, or combinations of participants, that formed the ACO:

Critical Access Hospital (CAH) billing under Method II
Hospital employing ACO professionals
Partnerships or joint venture arrangements between hospitals and ACO professionals

Types of ACO participants, or combinations of participants, that formed the ACO:

Member	Title/Position	Member's Voting Power	Membership Type	ACO Participant Legal Business Name
Jim McManus	Chairperson	20%	ACO Participant Representative	Adena Medical Group, LLC
Devin Zakrzewski	Chairperson	20%	ACO Participant Representative	Adena Medical Group, LLC
Katherine Edrington	Chairperson	20%	ACO Participant Representative	Adena Medical Group, LLC
Justin Smith, MD	Chairperson	20%	ACO Participant Representative	Adena Medical Group, LLC
William Beatty	Chairperson	20%	Medicare Beneficiary	Adena Medical Group, LLC

ACO Participants
Jim McManus, Chairperson Voting Power: 20% ACO Participant Representative Adena Medical Group, LLC
Devin Zakrzewski, Chairperson Voting Power: 20% ACO Participant Representative Adena Medical Group, LLC
Katherine Edrington, Chairperson Voting Power: 20% ACO Participant Representative Adena Medical Group, LLC
Justin Smith, MD, Chairperson Voting Power: 20% ACO Participant Representative Adena Medical Group, LLC
William Beatty, Chairperson Voting Power: 20% ACO Participant Representative Adena Medical Group, LLC

Associated committees and committee leadership:

Committee: Finance and Clinical Quality Committee | Committee Leader Name and Position: Dr. Justin Smith, Chair
Committee: Value-Based Steering Committee | Committee Leader Name and Position: Jim McManus, CFO

Shared Savings and Losses

Amount of Shared Savings/Losses

Third Agreement Period

Performance Year 2023, $0
Performance Year 2022, $0

Second Agreement Period

Performance Year 2021, $0
Performance Year 2020, $0
Performance Year 2019, $0
Performance Year 2018, $0

First Agreement Period

Performance Year 2017, $0
Performance Year 2016, $4,453,320
Performance Year 2015, $2,551,721

Shared Savings Distribution

Third Agreement Period

Performance Year 2023

Proportion invested in infrastructure: NA
Proportion invested in redesigned care processes/resources: NA
Proportion of distribution to ACO participants: NA

Performance Year 2022

Proportion invested in infrastructure: NA
Proportion invested in redesigned care processes/resources: NA
Proportion of distribution to ACO participants: NA

Second Agreement Period

Performance Year 2021

Proportion invested in infrastructure: NA
Proportion invested in redesigned care processes/resources: NA
Proportion of distribution to ACO participants: NA

Performance Year 2020

Proportion invested in infrastructure: NA
Proportion invested in redesigned care processes/resources: NA
Proportion of distribution to ACO participants: NA

Performance Year 2019

Proportion invested in infrastructure: NA
Proportion invested in redesigned care processes/resources: NA
Proportion of distribution to ACO participants: NA

Performance Year 2018

Proportion invested in infrastructure: NA
Proportion invested in redesigned care processes/resources: NA
Proportion of distribution to ACO participants: NA

First Agreement Period

Performance Year 2017

Proportion invested in infrastructure: NA
Proportion invested in redesigned care processes/resources: NA
Proportion of distribution to ACO participants: NA

Performance Year 2016

Proportion invested in infrastructure: 28%
Proportion invested in redesigned care processes/resources: 8%
Proportion of distribution to ACO participants: 64%

Performance Year 2015

Proportion invested in infrastructure: 25%
Proportion invested in redesigned care processes/resources: NA
Proportion of distribution to ACO participants: 75%

Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance (SSP ACOs)
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	eCQM	29.62	27.39
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	eCQM	15.20	48.99
Quality ID# 236	Controlling High Blood Pressure	eCQM	65.20	72.35
Quality ID# 321	CAHPS for MIPS [2]	CAHPS	6.96	6.25
Measure # 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1476	0.1553
Measure # 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	43.22	35.39