For this assignment you will take on Mark's role as the Lead Data Analyst for Royal Health Partners (RHP).

As mentioned by your CEO, RHPs will be joining the Medicare Shared Savings program. The Shared Savings program helps organizations move from fee for service reimbursement to value based reimbursement. So that you can become more familiar with the program please review the link below to CMSs shared savings program site for ACOs.

• Accountable Care Organizations (ACOs)Links to an external site.

You have been assigned to be the lead analyst supporting the Quality Committee. The ACO has a quality committee because as part of the Shared Savings program we will be required to publicly report on 33 quality metrics.. So that you have a sense of the "big picture", please review the link below to ACO's (Caromont Health ACO) public reporting page

• Caromont Health ACOLinks to an external site. (Hint- to see their public reporting read down to the Quality Performance Results section and click to produce the full report. )

Initially, you will help the Quality Committee to understand the status of RHPs ACO population with regard to a number of clinically related ACO quality metrics. Below is a link to a CMSs Public Reporting Guidance; this guidance describes how each quality metric is calculated. We've also provided you with an excel spreadsheet below. The first tab provides benchmark data for all ACOs. The second tab provides data for a sample of RHP's patients.

• CMS's Public Reporting GuidanceLinks to an external site.
• Excel Data Download Excel Data

**Your Task!

Your taskis to review the material provided above and to become familiar with ACO performance reporting, and conduct sufficient analysis to describe (based on this sample):

• Where we stand as an organization with regard to each measure
• How we stack up against competing ACO's
• Where we should focus our care management teams and providers over the next six months to assure that our public reporting is in the top tier of the nation's ACO's

J13 X V fx Q R S T U V N P M 0 G H E B C D ACO-14 (Flue) ACO-19 (Colo Screening ACO-20 (Breast Screening ACO-27 (A1C ontrol ACO-28 (BP Conrol) Patient No Age Gender 346223 891621 629366 269549 751013 78 722542 442021 110935 679512 527042 258068 13 240947 14 692983 749153 859887 o 626580 108630 800320 475326 882154 H HOHOOO OO HO H OO OO N O N OO N N N N NO H H P O JO JO O JO O PO PP 357633 O O O H H H H O O H O K O O O HO HO H H O O NO K O K K K O K K K P P O K K F O O P 778424 354126 568293 390002 636414 310753 529890 468044 718559 420813 603277 251104 O 527953 176025 820534 817498 518742 336658 190926 956775 993150 105 643328 78 45 497651 101 Sheet1 +