ACO Name and Location

National Rural ACO 20 LLC
dba Deep South Regional ACO
7509 NW Tiffany Springs Parkway
Suite 310
Kansas City, MO 64153

ACO Primary Contact

Primary Contact Name Greg Paris
Primary Contact Phone Number 916-542-4582
Primary Contact Email Address gparis@caravanhealth.com

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Southern Family Healthcare, P.A. N
Northwest Florida Healthcare, Inc. Y
Effingham Medical Partners, LLC Y
Samuel Ward N
Leisa Bailey N
DMC Physician Group, LLC N
Family Health Centers, Inc N
Hospital Authority of Ben Hill Y
Edisto Regional Health Services, Inc. Y
Colquitt Complete Care Llc N
Emanuel County Hospital Authority Y
Irwin County Hospital Y
Hospital Authority of Candler County Y
The Hospital Authority of Miller County Y
Calhoun Liberty Hospital Association, INC. Y
Leisa Bailey N
ER Physician Group At Jackson Hospital N
Jackson County Hospital District Y
Hendry County Hospital Authority Y
 
ACO governing body:
Member Member’s Voting Power Membership Type ACO Participant TIN
Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Durant Charles Board Member 1 ACO participant representative Calhoun Liberty Hospital Association
Salter Julie Board Member 1 ACO participant representative Effingham Medical Partners, LLC
Platt Jim Board Member 1 ACO participant representative Jackson County Hospital District
Williams RD Chairman 1 Chairman Hendry County Hospital Authority
Rau Robin Secretary/Treasurer 1 Secretary and Treasurer The Hospital Authority of Miller County
Render William Board Member 1 ACO participant representative Edisto Regional Health Services
Kozar Michael Board Member 1 ACO participant representative Northwest Florida Healthcare
Duell Ron Board Member 1 Medicare Beneficiary Representative N/A
Scott Damien Board Member 1 ACO participant representative Emanuel County Hospital Authority
Wynn Paige Board Member 1 ACO participant representative Irwin County Hospital
Mims Stacie Board Member 1 ACO participant representative Dorminy Medical Clinic
Flanders David Board Member 1 ACO participant representative Candler County Hospital
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
William O’Quinn Medical Director
LeeAnn Hastings Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer
 
 
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Information Technology Committee  Leon Hoover
Care Coordination & Patient Engagement Committee  Lynn Mauck
Evidence-Based Medicine Committee  Dr. Ronald Samess
Finance Committee  Dale Guffey
Quality & Performance Improvement Committee  Joanie Beard
 
Types of ACO participants, or combinations of participants, that formed the ACO:
  •  Partnerships or joint venture arrangements between hospitals and ACO professionals
  •  Hospital employing ACO professionals
  •  Critical Access Hospital (CAH) billing under Method II
  •  Federally Qualified Health Center (FQHC)
  •  Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
 
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2017
      • 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 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
 

Quality Performance Results

2017 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 76.29 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.64 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 92.40 92.31
ACO-4 CAHPS: Access to Specialists 84.72 83.32
ACO-5 CAHPS: Health Promotion and Education 56.46 62.30
ACO-6 CAHPS: Shared Decision Making 75.21 75.85
ACO-7 CAHPS: Health Status/Functional Status 70.81 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 26.65 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.95 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.78 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 58.47 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 94.11 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 69.48 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.94 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 96.55 75.32
ACO-13 Falls: Screening for Future Fall Risk 69.84 74.38
ACO-44 Imaging Studies for Low Back Pain 63.01 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 61.67 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 51.41 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 62.55 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.66 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 39.53 61.98
ACO-19 Colorectal Cancer Screening 41.37 64.58
ACO-20 Breast Cancer Screening 46.80 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.71 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 21.77 16.74
ACO-41 Diabetes: Eye Exam 26.61 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 62.12 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 86.85 86.86
 
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 “National Rural ACO 20 LLC” or “Deep South Regional ACO”to view the quality performance results. This ACO can also be found by using the ACO ID A33509 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.