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 gparis@caravanhealth.com

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
EMILE C LI PLC 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 data.cms.gov.

Payment Rule Waivers

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