ACO Name and Location

National Rural ACO 8 LLC
dba Illinois Rural 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

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Howd Medical LLC N
Morris Hospital Y
Fairfield Memorial Hospital Association Y
Graham Hospital Association Y
Charles Comfort, M.D. N
McDonough County Hospital District Y
Charles Comfort N
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
Duvendack Tammy Board Member 1 ACO participant representative Pekin Memorial Hospital
Bunting Kathy Vice-Chairman 1 ACO participant representative Fairfield Memorial Hospital Association
Muntz Tim Treasurer 1 ACO participant representative St. Margaret’s Hospital
Boyd Kenneth Secretary 1 ACO participant representative McDonough County Hospital District
Senneff Robert Board Member 1 ACO participant representative Graham Hospital Association
Steadham Mark Board Member 1 ACO participant representative Morris Hospital
McCullough Lee Board Member 1 Medicare Beneficiary Representative N/A
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Robert Morrow 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 Brad Augustl
Care Coordination & Patient Engagement Committee Julie Aman
Evidence-Based Medicine Committee Dr. Weslesy Thompson
Finance Committee Melody Morgan
Quality & Performance Improvement Committee Luke McDaniel
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
  •  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 78.11 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 91.79 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.38 92.31
ACO-4 CAHPS: Access to Specialists 83.06 83.32
ACO-5 CAHPS: Health Promotion and Education 56.26 62.30
ACO-6 CAHPS: Shared Decision Making 72.91 75.85
ACO-7 CAHPS: Health Status/Functional Status 73.43 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 27.53 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.30 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.27 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 56.18 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 86.11 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 71.86 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.55 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 94.24 75.32
ACO-13 Falls: Screening for Future Fall Risk 66.80 74.38
ACO-44 Imaging Studies for Low Back Pain 65.71 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 70.00 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 73.38 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 66.94 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.23 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 42.80 61.98
ACO-19 Colorectal Cancer Screening 54.80 64.58
ACO-20 Breast Cancer Screening 62.55 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.69 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.13 16.74
ACO-41 Diabetes: Eye Exam 43.55 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 63.43 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 92.00 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 8 LLC” or “Illinois Rural ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A97980 in the public use files on

Payment Rule Waivers

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