Accountable Care Organization | Springfield Clinic
About Springfield Clinic

Accountable Care Organization

Springfield Clinic’s Accountable Care Organization (ACO)

On January 1, 2015, Springfield Clinic achieved status as an Accountable Care Organization (ACO) through the Centers for Medicare & Medicaid Services (CMS). Springfield Clinic and its entire network of offices, providers and services will join leading health care organizations across the country as a Medicare ACO in the Medicare Shared Savings Program established by CMS.

An ACO is a group of health care providers who work closely together to provide more coordinated care for their patients. An ACO’s aim is to improve each patient’s health, either by making sure they get the care they need when they are sick, or providing the support patients need to stay healthy. The end result is not only improved individual wellness, but a healthier population overall and more effective management of health care expenditures. 

Springfield Clinic’s goal as an ACO is to put our patients at the center of our care, ensuring we deliver the right care at the right time in the right setting.

To do so effectively, an ACO needs access to your health information. By viewing what health issues have already been addressed and how they have been treated, your Springfield Clinic provider can better coordinate the health care you receive in the future.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.

ACO Details:

ACO Name and Location:

Springfield Clinic ACO, LLC

1025 South 6th Street

Springfield, IL  62703

ACO Primary Contact:

Alan Nerone

anerone@springfieldclinic.com

217.528.7541

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

ACO professionals in a group practice arrangement

ACO Participants:

Single entity ACO consisting of Springfield Clinic, LLP

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

Springfield Clinic ACO Governing Body:

Jim Abraham, MD - Voting Member, ACO Participant

Aaron Brewer, MD - Voting Member, ACO Participant

Philip Garcia, MD - Voting Member, ACO Participant

Mark Greatting, MD - Voting Member, ACO Participant

Amit Gupta, MD – Voting Member, ACO Participant

William Putman, MD – Chairman, Voting Member, ACO Participant

Murty Renduchintala, MD - Voting Member, ACO Participant

Larry Sapetti, MD – Voting Member, ACO Participant

John Shaffer – Voting Member, Medicare Beneficiary Representative

James Thiele, MD - Voting Member, ACO Participant

Stephanie Wojtowicz, MD - Voting Member, ACO Participant

Key Clinical and Administrative Leadership Personnel:

  1. ACO Executive: Alan Nerone
  2. Medical Director: Kenneth Sagins, MD
  3. Compliance Official: Chris Cousins
  4. Quality Assurance/Improvement Officer: Kenneth Sagins, MD

Associated Committees and Committee Leadership:

Ambulatory Surgery Committee James Thiele, MD / Chair
Ancillary Committee Amit Gupta, MD / Chair
Finance Committee Philip Garcia, MD / Chair
Information Technology Committee Murty Renduchintala, MD / Chair
Managed Care & Insurance Committee Larry Sapetti, MD / Chair
Marketing & Communications Committee Stephanie Wojtowicz, MD / Chair
Quality Management & Peer Review Committee James Abraham, MD / Chair

ACO Mission:

Mission

We will provide the highest quality health care to the people of central Illinois.

Vision

Springfield Clinic is a progressive physician-led organization devoted to providing the highest quality health care to our patients.

The Clinic's goal is to be a nationally recognized leader in the delivery of value-driven, coordinated patient care through service excellence, innovation and optimal health outcomes.

Values

  • Our mission is supported by four core values supported at every level of the organization
  • Excellence in all that we do
  • Honesty and integrity
  • Fairness in our treatment of patients, employees, partners and referring physicians
  • Passion for the practice of medicine; compassion for those we serve.

ACO Readiness:

For more than 75 years, Springfield Clinic has been leading the way in the delivery of high quality health care to the people of central Illinois. With more than 400 board-certified doctors and advanced practitioners, practicing in nearly 80 medical specialties and sub-specialties, Springfield Clinic serves its patients through a network of more than 50 medical offices and outreach clinic locations throughout the region.

Decade after decade, Springfield Clinic has demonstrated its commitment to quality patient care, by offering the latest in technology and medical innovation. At the time of its founding in 1939, Springfield Clinic was the only physician practice in the region to offer multi-specialty medical care. It was the first in the region in many ways, including development of “satellite” offices, incorporation of nurse practitioners and creation of the area’s first freestanding outpatient surgery center. To supplement the care delivered in the traditional clinical setting, Springfield Clinic was one of the first to offer a no-appointment, walk-in medical clinic (Prompt Care) and launch a 24-hour patient assistance line (TeleNurse). 

By 2008, Springfield Clinic was among the leading medical groups of its size in the nation to fully implement an electronic health record (EHR) system. Since that time, Springfield Clinic’s EHR has become the regional repository for medical data from numerous other health care institutions, and by virtue of a secure patient portal, allows patients to electronically access their medical information from all participating providers.

As it looks toward the next phase in the delivery of quality health care, Springfield Clinic will be able to better coordinate patient care by improving access, identifying and closing care gaps, and enhancing the patient’s satisfaction and engagement with his or her personal health.

It stands to reason that Springfield Clinic was selected to join more than 400 health care institutions across the nation as an Accountable Care Organization (ACO). ACOs are committed to improving their patients’ health and reducing the cost of health care to our country. Springfield Clinic is committed to the same goals.

Shared Savings / Losses:

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2015
      • 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 utilize the SNF 3-Day Rule Waiver

Quality Results:

2016 Quality Performance Results Table

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

Note: In the Quality Performance Results file(s) above, search for “Springfield Clinic ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A51793 in the public use files on data.cms.gov.