ACO Name and Location

National Rural ACO 21 LLC
dba Minnesota 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)
Winona Health Services Y
Lake Region Healthcare Corporation Y
Aitkin Community Hospital Inc. dba Riverwood Healthcare Center Y
MANKATO CLINIC, LTD. Y
OLMSTED MEDICAL CENTER Y
Evangelical Lutheran Church in LQP Hospital of Madison Inc dba Madison Healthcare Services Y
Lac qui Parle Clinic of Madison Inc. N
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES 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
Richards Kyle Secretary/Treasurer 1 ACO Participant Representative Lake Region Healthcare Corporation
Anderson Lucia  Board Member 1 ACO Participant Representative Lake Region Healthcare Corporation
Bjerke Erik Vice Chairman 1 ACO Participant Representative Evangelical Lutheran Church in LQP Hospital of Madison Inc dba Madison Healthcare Services
Morinville Chad Board Member 1 ACO Participant Representative Evangelical Lutheran Church in LQP Hospital of Madison Inc dba Madison Healthcare Services
Farrow Randy Board Member 1 ACO Participant Representative MANKATO CLINIC, LTD.
Weir Tim  Board Member 1 ACO Participant Representative OLMSTED MEDICAL CENTER
Copper Chad Board Member 1 ACO Participant Representative Aitkin Community Hospital Inc. dba Riverwood Healthcare Center
Bollman Martha/Marti Board Member 1 ACO Participant Representative Winona Health Services
Schultz Rachelle Chairman 1 ACO Participant Representative Winona Health Services
Mogren Ken Board Member 1 Medicare Beneficiary Representative N/A
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
David Bjork 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 Wade Jyrkas, Chair
Care Coordination & Patient Engagement Committee Paula Phillips, Chair
Evidence-Based Medicine Committee Dr. Anjali Gupta, Chair
Finance Committee Brett Longtin, Chair
Quality & Performance Improvement Committee Abby Drouillard, 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
  • 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 82.39 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.31 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 92.23 92.31
ACO-4 CAHPS: Access to Specialists 84.20 83.32
ACO-5 CAHPS: Health Promotion and Education 62.40 62.30
ACO-6 CAHPS: Shared Decision Making 76.56 75.85
ACO-7 CAHPS: Health Status/Functional Status 74.19 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 21.28 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.87 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.73 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 51.98 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 77.22 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 64.14 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.28 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 45.92 75.32
ACO-13 Falls: Screening for Future Fall Risk 95.56 74.38
ACO-44 Imaging Studies for Low Back Pain 65.05 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 83.33 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 92.16 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 55.42 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.74 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 80.65 61.98
ACO-19 Colorectal Cancer Screening 68.55 64.58
ACO-20 Breast Cancer Screening 72.29 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.74 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.69 16.74
ACO-41 Diabetes: Eye Exam 58.06 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 74.61 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 88.89 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 21 LLC” or “Minnesota Rural ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A46443 in the public use files on data.cms.gov.

Payment Rule Waivers

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