Organized Health Care Arrangement (OHCA)

Organized Health Care Arrangement (OHCA)

The Health Insurance Portability and Accountability Act (“HIPAA”) defines an Organized Health Care Arrangement (“OHCA”) to include an organized system of health care in which more than one covered entity participates and in which the participating covered entities hold themselves out to the public as participating in a joint arrangement and participate in certain joint activities.

Northwestern Memorial HealthCare’s covered entity affiliates have established one or more OHCA’s. This means that patient information may be shared between these organizations, including their medical staff, for purposes related to operating together as a health system, including the provision of treatment, for payment purposes, and for a broad scope of health care operations, which include joint utilization review, credentialing, education, risk management, patient safety, quality assessment and improvement activities.

Below is a listing of covered entities that may participate in one or more OHCA’s. Please note that this list may be updated from time-to-time.

• Cadence Ambulatory Surgery Center, LLC
• DeKalb Behavioral Health Foundation, Inc.
• Illinois Proton Center, LLC
• Northwestern Medical Faculty Foundation Dialysis Center
• Northwestern Medical Group
• Northwestern Medicine ACO, LLC
• Northwestern Medicine Delnor Hospital
• Northwestern Medicine Huntley Hospital
• Northwestern Medicine Kishwaukee Hospital
• Northwestern Medicine Lake Forest Hospital
• Northwestern Medicine Marianjoy Rehabilitation Hospital
• Northwestern Medicine McHenry Hospital
• Northwestern Medicine Palos Hospital
• Northwestern Medicine Valley West Hospital
• Northwestern Medicine Woodstock Hospital
• Northwestern Memorial HealthCare Group Health Plan
• Northwestern Memorial Hospital
• Northwestern Medicine Regional Medical Group
• Palos Health Surgery Center, LLC
• Palos Imaging, LLC
• South Campus Partners, Inc.
• The Midland Surgical Center, LLC