ACO Name and Location

National Rural ACO 11 LLC
dba Greater Michigan Rural ACO
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)
Sheridan Community Hospital Y
Scheurer Hospital Y
Marlette Regional Hospital Y
Hills & Dales General Hospital Inc Y
McKenzie Memorial Hospital Y
Alcona Citizens for Health, Inc Y
HELEN NEWBERRY JOY HOSPITAL Y
Steven Vix N
Schoolcraft Memorial 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
Baumgardner Christine  Vice Chairman 1 ACO Participant Representative Alcona Citizens for Health, Inc
PILLION SCOTT  Secretary/Treasurer 1 ACO Participant Representative HELEN NEWBERRY JOY HOSPITAL
ANTHONY JEAN  Board Member 1 ACO Participant Representative Hills & Dales General Hospital Inc
Babcock Dan  Board Member 1 ACO Participant Representative Marlette Regional Hospital
Barnett Steve Chairman 1 ACO Participant Representative McKenzie Memorial Hospital
Lerash Terry Board Member  1 ACO Participant Representative Scheurer Hospital
Crumb Robert  Board Member  1 ACO Participant Representative Schoolcraft Memorial Hospital
Flechsig Randolph  Board Member 1 ACO Participant Representative Sheridan Community Hospital
Hart Bill Board Member 1 Medicare Beneficiary Representative N/A
 
Key ACO clinical and administrative leadership:
John Barnas ACO Executive
Mustafa Hamed 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 Paul Gugel, Chair
Care Coordination & Patient Engagement Committee Michael Lewis, Chair
Evidence-Based Medicine Committee Dr. Mustafa Mark Hamed, Chair
Finance Committee Jim Singles, Chair
Quality & Performance Improvement Committee Brenda Bolsby, Chair
 
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, $2,785,961
    • 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 79.93 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 91.53 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.09 92.31
ACO-4 CAHPS: Access to Specialists 78.63 83.32
ACO-5 CAHPS: Health Promotion and Education 58.28 62.30
ACO-6 CAHPS: Shared Decision Making 75.19 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.02 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 27.40 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.84 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.85 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 51.74 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 73.03 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.51 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.03 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 32.88 75.32
ACO-13 Falls: Screening for Future Fall Risk 67.07 74.38
ACO-44 Imaging Studies for Low Back Pain 64.84 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 73.97 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 76.73 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 69.39 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.42 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 70.56 61.98
ACO-19 Colorectal Cancer Screening 62.88 64.58
ACO-20 Breast Cancer Screening 71.60 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.61 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.14 16.74
ACO-41 Diabetes: Eye Exam 48.03 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 71.98 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 93.17 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 11 LLC” or “Greater Michigan Rural ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A45565 in the public use files on data.cms.gov.

Payment Rule Waivers

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