ACO Name and Location

National Rural ACO 7 LLC
dba Iowa 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)
Sioux Center Health Y
Cass County Memorial Hospital Y
Fort Madison Community Hospital Y
Virginia Gay Hospital Inc Y
Iowa Specialty Hospital-Clarion Y
Belmond Community Hospital Y
Greater Regional Medical Center Y
BFM Keokuk Clinic Llc 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
McDaniel Amy Chairman 1 ACO Participant Representative Belmond Community Hospital
Altman Brett Board Member 1 ACO Participant Representative Cass County Memorial Hospital
Alexander Jeremy Board Member 1 ACO Participant Representative Fort Madison Community Hospital
McCutchan Matt Treasurer 1 ACO Participant Representative Greater Regional Medical Center
Simonin Steve  Board Member 1 ACO Participant Representative Iowa Specialty Hospital-Clarion
Sedelmeier Monica Secretary 1 ACO Participant Representative Sioux Center Health
Riege Mike Board Member 1 ACO Participant Representative Virginia Gay Hospital Inc
Vermedahl Dave Board Member 1 Medicare Beneficiary Representative N/A
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Mike Hurt 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 Sherri Isbell, Chair
Care Coordination & Patient Engagement Committee Kim Wilson, Chair
Evidence-Based Medicine Committee Dr. Reagan Swisher, Chair
Finance Committee Jackson Schuiteman, Chair
Quality & Performance Improvement Committee Stacey Cayler, 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
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $2,416,099
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: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%

Quality Performance Results

2017 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 69.86 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 89.31 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 88.31 92.31
ACO-4 CAHPS: Access to Specialists 84.35 83.32
ACO-5 CAHPS: Health Promotion and Education 49.92 62.30
ACO-6 CAHPS: Shared Decision Making 73.77 75.85
ACO-7 CAHPS: Health Status/Functional Status 74.60 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 25.65 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.31 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.71 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 47.68 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 70.51 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 56.86 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.44 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 100.00 75.32
ACO-13 Falls: Screening for Future Fall Risk 50.41 74.38
ACO-44 Imaging Studies for Low Back Pain 62.50 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 77.54 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 76.28 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 47.11 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.95 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 40.74 61.98
ACO-19 Colorectal Cancer Screening 71.26 64.58
ACO-20 Breast Cancer Screening 74.90 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.52 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.02 16.74
ACO-41 Diabetes: Eye Exam 57.81 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.68 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 93.82 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 7 LLC” or “Iowa Rural ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A84870 in the public use files on

Payment Rule Waivers

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