ACO Name and Location

National Rural ACO 24 LLC
dba High Sierras-Northern Plains 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)
Coal Country Community Health Center N
Gila Health Resources Y
Tahoe Orthopedics & Sports Medicine, Inc. N
Good Samaritan Hospital Association dba Heart of America Medical Center Y
P R Health Corporation dba First Care Health Center Y
Hazen Memorial Hospital Association dba Sakakawea Medical Center Y
Southwest Healthcare Services Y
Lake Tahoe Orthopaedic Institute, A Watson-Swanson Professional Corp N
Mckenzie County Healthcare Systems Inc Y
Truckee Tahoe Medical Group Inc Y
Tahoe Carson Valley Medical Group Inc N
Barton Healthcare System Y
Ridgecrest Regional Hospital Y
Southern Mono Healthcare District dba Mammoth 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
Becker Preston  Board Member ACO Participant Representative Barton Healthcare System
Lewis Marcus Board Member  1 ACO Participant Representative P R Health Corporation dba First Care Health Center
Manwaring Jonathan Board Member  1 ACO Participant Representative Gila Health Resources
Branco Patrick Board Member ACO Participant Representative Good Samaritan Hospital Association dba Heart of America Medical Center
Van
Winkle
Melanie Treasurer  1 ACO Participant Representative Southern Mono Healthcare District dba Mammoth Hospital
Kelly Daniel Secretary  1 ACO Participant Representative Mckenzie County Healthcare Systems Inc
Suver James Vice-Chairman  1 ACO Participant Representative Ridgecrest
Regional Hospital
Bertsch Darrold Chairman  1 ACO Participant Representative Hazen Memorial Hospital Association dba Sakakawea Medical Center
Wiesner Jerry Board Member  1 ACO Participant Representative Southwest Healthcare Services
Krause, MD Paul Board Member  1 ACO Participant Representative Truckee Tahoe Medical Group Inc
Wickman Drew Board Member Medicare Beneficiary Representative N/A
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Aaron Garman 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 Susan Pietroangelo
Care Coordination & Patient Engagement Committee Celia Mills
Evidence-Based Medicine Committee Dr. Megan Stone
Finance Committee Lois Johnson
Quality & Performance Improvement Committee Erica Wells
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 80.19 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.02 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 93.05 92.31
ACO-4 CAHPS: Access to Specialists 83.81 83.32
ACO-5 CAHPS: Health Promotion and Education 60.04 62.30
ACO-6 CAHPS: Shared Decision Making 80.52 75.85
ACO-7 CAHPS: Health Status/Functional Status 76.26 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 26.78 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.78 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.57 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 54.94 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 71.86 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 60.88 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.42 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 83.62 75.32
ACO-13 Falls: Screening for Future Fall Risk 64.57 74.38
ACO-44 Imaging Studies for Low Back Pain 73.91 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 69.75 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 74.40 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 63.45 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.61 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 61.48 61.98
ACO-19 Colorectal Cancer Screening 67.07 64.58
ACO-20 Breast Cancer Screening 71.26 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 72.43 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.92 16.74
ACO-41 Diabetes: Eye Exam 37.50 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 60.31 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 85.99 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 24 LLC” or “High Sierras-Northern Plains ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A27169 in the public use files on data.cms.gov.

Payment Rule Waivers

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