ACO Name and Location

National Rural ACO 5 LLC
dba Great Plains Care Organization
7509 NW Tiffany Springs Parkway
Suite 310
Kansas City, MO 64153

ACO Primary Contact

Primary Contact Name Desiree Brewer
Primary Contact Phone Number 916-542-4582
Primary Contact Email Address dbrewer@caravanhealth.com

Organizational Information

ACO participants:
ACO Participants ACO
Participant in Joint Venture (Enter Y or N)
Avera Holy Family Y
Floyd Valley Hospital Y
Spencer Municipal Hospital Y
Lakes Regional Healthcare Y
Avera St Anthonys Hospital 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
Hustedt Dale Board Member 1 ACO Participant Representative Avera Holy Family
Flicek David Chairman 1 ACO Participant Representative Avera St Anthonys Hospital
Bates Rob  Vice Chairman 1 ACO Participant Representative Avera St Anthonys Hospital
Ekeren Doug Board Member 1 ACO Participant Representative Avera St Anthonys Hospital
Donlin Mike Board Member 1 ACO Participant Representative Floyd Valley Hospital
Harrington Jason Treasurer 1 ACO Participant Representative Lakes Regional Healthcare
Baumgarner Bill Secretary 1 ACO Participant Representative Spencer Municipal Hospital
Young Amanda Board Member 1 ACO Participant Representative Spencer Municipal Hospital
Cotton John Board Member 1 Medicare Beneficiary Representative N/A
 
Key ACO clinical and administrative leadership:
Teri Bergeleen ACO Executive
David Basel, MD 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 Jim Veline, Chair
Care Coordination & Patient Engagement Committee Sandy Crisp, Chair
Evidence-Based Medicine Committee Dr. James Creech, Chair
Finance Committee Jim Breckenridge, Chair
Quality & Performance Improvement Committee David Basel, MD, Chair
 
Types of ACO participants, or combinations of participants, that formed the ACO:
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2017, $1,992,047
    • Performance Year 2016, $0
 
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • 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 73.36 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.44 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 91.71 92.31
ACO-4 CAHPS: Access to Specialists 87.72 83.32
ACO-5 CAHPS: Health Promotion and Education 56.90 62.30
ACO-6 CAHPS: Shared Decision Making 77.18 75.85
ACO-7 CAHPS: Health Status/Functional Status 75.50 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 28.78 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.40 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.83 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 47.10 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 71.98 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.53 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.36 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 52.94 75.32
ACO-13 Falls: Screening for Future Fall Risk 95.98 74.38
ACO-44 Imaging Studies for Low Back Pain 66.67 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 91.67 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 86.52 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 75.00 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.97 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 81.89 61.98
ACO-19 Colorectal Cancer Screening 77.31 64.58
ACO-20 Breast Cancer Screening 74.59 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.12 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 8.70 16.74
ACO-41 Diabetes: Eye Exam 60.87 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 77.81 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 97.80 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 5 LLC” or “Great Plains Care Organization” to view the quality performance results. This ACO can also be found by using the ACO ID A38977 in the public use files on data.cms.gov.

Payment Rule Waivers

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