Public Report

ACO Name & Location

OSF Healthcare System
800 NE Glen Oak Avenue
Peoria, Illinois 61603

ACO Primary Contact

Amanda Estes, ACO Process Manager
Phone: (309) 624-8389
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ACO Participants

  • OSF Lifeline Ambulance, LLC
  • Osf Multispecialty Group Peoria Llc
  • Illinois Neurological Institute Physicians, LLC
  • Cardiovascular Institute at OSF, LLC
  • Ottawa Regional Medical Center, Inc
  • OSF Multispecialty Group Eastern Region, LLC
  • Mendota Community Hospital
  • Saint Anthony Medical Center
  • Ottawa Regional Hospital & Healthcare Center
  • OSF Saint Francis, Inc
  • Saint Francis Medical Center
  • Saint James Hospital
  • St. Joseph Medical Center
  • St Mary Medical Center
  • Institute Of Physical Medicine And Rehabilitation
  • Heartcare Midwest Ltd
  • St Francis Hospital
  • OSF Multi-Specialty Group
  • Illinois Pathologist Services, LLC
  • Illinois Specialty Physician Services at OSF, LLC
  • OSF Perinatal Associates, LLC
  • OSF Multispecialty Group Western Region, LLC

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

ACO Governing Body

  1. Sister Judith Ann Duvall, Voting Member and Chair, ACO Participant Representative and OSF Board Member, OSF Multi-Specialty Group
  2. Sister Diane Marie McGrew, Voting Member and President and Treasurer, ACO Participant Representative and OSF Board Member, St. Mary Medical Center
  3. Sister Agnes Joseph Williams, Voting Member and Board Asst. Secretary, ACO Participant Representative and OSF Board Member, St. Joseph Medical Center
  4. Sister Theresa Ann Brazeua, Voting Member Secretary, ACO Participant Representative and OSF Board Member, Saint James Hospital
  5. Sister M Mikela Miedl, Voting Member, ACO Participant Representative and OSF Board Member, Ottawa Regional Hospital Healthcare Center
  6. Kevin D Schoeplein, Voting Member, ACO Participant Representative and OSF Board Member, Saint Anthony Medical Center
  7. Gerald McShane, MD, Voting Member, ACO Participant Representative and OSF Board Member, OSF Multi-Specialty Group
  8. Brian Silverstein, MD, Voting Member, ACO Participant Representative and OSF Board Member, Mendota Community Hospital
  9. Robert Sehring, Voting Member, ACO Participant Representative, Saint Francis Medical Center
  10. Anthony Avellino, Voting Member, ACO Participant Representative, Illinois Pathologist Services, LLC
  11. Kenneth Berkovitz, MD, Voting Member, ACO Participant Representative, St. Francis Medical Center
  12. Lori Wiegand, Voting Member, ACO Participant Representative, St. Francis Hospital
  13. Stephen Hippler, MD, Voting Member, ACO Participant Representative, OSF St. Francis, Inc.
  14. Richard Hobin, Voting Member, Medicare Beneficiary Representative
  15. Joanne Thomas, Voting Member, Community Stakeholder Representative
  16. August Querciagrossa, RPh, MS, MBA, Non-voting Member, OSF Healthcare System – Senior Leadership
  17. Patrick Elwood, MD, Non-voting Member, OSF Healthcare System – Senior Leadership
  18. Michael Allen, Non-voting Member, OSF Healthcare System – Senior Leadership
  19. Robert Brandfass, Non-voting Member, OSF Healthcare System – Senior Leadership
  20. Ralph Velazquez, MD, Non-voting Member, OSF Healthcare System – Senior Leadership
  21. Melody Berry, Non-voting Member, OSF Healthcare System – Senior Leadership
  22. Randy Billings, Non-voting Member, OSF Healthcare System – Senior Leadership

Key ACO Clinical & Administrative Leadership

  1. ACO Executive: Kevin D. Schoeplein, Chief Executive Officer, OSF Healthcare System
  2. Medical Director: Dr. Ralph Velazquez, Senior Vice President, Care Management
  3. Compliance Official: John Evancho, Chief Compliance Officer
  4. Quality Assurance/Improvement Officer: Virginia Pisano, Director, Ambulatory Quality Improvement

Associated Committees & Committee Leadership

MSSP Organizational Chart (PDF - 1.5 MB)

Types of ACO Participants or Combinations of Participants That Formed the ACO

  1. ACO professionals in a group practice arrangement
  2. Hospital employing ACO professionals
  3. Critical Access Hospital (CAH) billing under Method II
  4. Rural Health Clinic (RHC)

Amount of Shared Savings/Losses

OSF Healthcare System in first year of agreement period.

Agreement period beginning 2017, Performance Year 2017:To be completed at the conclusion of the performance year.

Shared Savings Distribution

OSF Healthcare System in first year of agreement period.

Agreement period beginning 2017, Performance Year 2017:

ACO participant TINs (PCP, specialists, hospitals)
Distribution based on overall percentage of Medicare spend of MSSP Track 3 beneficiaries.
80%
Investment in infrastructure
Technology, EMR improvements, data warehouse, health care analytics, etc.
10%
Investment in care delivery improvements
Complex care managers, clinical process improvements, quality initiatives, etc.
10%

Payment Rule Waivers

Yes, our ACO uses the SNF 3-day rule waiver.

  • Heritage Manor - Streator, Llc
  • Heritage Manor Bloomington Llc
  • Bravo Care Of Galesburg Inc doing business as (d/b/a) Rosewood of Galesburg
  • Bravo Care Of Peoria Inc d/b/a Rosewood of Peoria
  • Bravo Care Of Rockford Inc d/b/a Rosewood of Rockford
  • Heartland Of Normal Il Llc
  • Heartland-Riverview Of East Peoria Il (Snf) Llc
  • Heartland Of Galesburg Il, Llc
  • Parker Nursing & Rehabilitation Center, Llc
  • Pleasant View Luther Home Inc
  • Ottawa Pavilion, Ltd.
  • Unlimited Development, Inc d/b/a Seminary Manor
  • St. Joseph Medical Center d/b/a St. Joseph TCU
  • Evenglow Lodge
  • Christian Homes, Inc d/b/a/ Washington Christian Village
  • Apostolic Christian Restmor Inc
  • Presence Life Connections d/b/a Presence St. Anne Centre
  • Presence Life Connections d/b/a Presence Cor Mariae
  • Metamora Community Nursing Home d/b/a Snyder Village
  • Symphony Maple Crest Llc d/b/a Maple Crest
  • Symphony Northwoods Llc d/b/a Northwoods

Quality Performance Results

  • 2017 Quality Performance Results
    • To be completed after the conclusion of the performance year