ACO Name and Location

National Rural ACO 6 LLC
dba Mountain Prairie 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)
Memorial Community Health Inc Y
Artesia General Hospital Y
Yuma District Hospital Y
Prowers County Hospital District Y
Southeast Colorado Hospital District Y
Arkansas Valley Regional Medical Center Y
Huerfano County Hospital District (DBA Spanish Peaks Regional Healthcare) Y
Cibola General Hospital Corporation Y
Nor-Lea Hospital District Y
Rehoboth McKinley Christian Health Care Services Inc Y
Roosevelt County Special Hospital District 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
Shaw David Chairman 1 ACO participant
representative
Nor-Lea Hospital District
Tyk Robert Vice Chairman 1 ACO participant
representative
Artesia General Hospital
Loveless Craig Treasurer 1 ACO participant
representative
Prowers County Hospital District
Crowell Lynn Board Member 1 ACO participant
representative
Arkansas Valley Regional Medical Center
Whitley Kay Board Member 1 ACO participant
representative
Huerfano County Hospital District
Saxton Beth Board Member 1 ACO participant
representative
Yuma District Hospital
Beames Bo Board Member  1 ACO participant
representative
Roosevelt County Special Hospital District
Whelan Thomas Board Member 1 ACO participant
representative
Cibola General Hospital Corporation
Conejo David Board Member 1 ACO participant
representative
Rehoboth McKinley Christian Health Care Services Inc.
Keller Diane Board Member 1 ACO participant
representative
Memorial Community Health Inc
Boyles Michael Board Member 1 ACO participant
representative
Southeast Colorado Hospital District
Moiser Mary Eldonna Board Member 1 Medicare Beneficiary Representative  
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Michael Moll 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  Chris Westphal
Care Coordination & Patient Engagement Committee  Kami Kohoon
Evidence-Based Medicine Committee  Dr. Thomas Hoffeld
Finance Committee  Dorothy Burke
Quality & Performance Improvement Committee  Laura Wilson
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, $1,431,830
    • Performance Year 2016, $3,136,210
 
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • 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 76.73 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.28 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 91.91 92.31
ACO-4 CAHPS: Access to Specialists 83.11 83.32
ACO-5 CAHPS: Health Promotion and Education 51.80 62.30
ACO-6 CAHPS: Shared Decision Making 75.60 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.05 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 23.24 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.90 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.63 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 48.90 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 77.10 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.10 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.54 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 78.91 75.32
ACO-13 Falls: Screening for Future Fall Risk 66.80 74.38
ACO-44 Imaging Studies for Low Back Pain 60.00 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 74.68 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 70.12 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 50.21 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.31 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 45.75 61.98
ACO-19 Colorectal Cancer Screening 47.41 64.58
ACO-20 Breast Cancer Screening 60.40 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.49 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 23.39 16.74
ACO-41 Diabetes: Eye Exam 36.69 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 62.00 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.16 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 Resultsfile(s) above, search for “National Rural ACO 6 LLC” or “Mountain Prairie ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A61487 in the public use files on data.cms.gov.

Payment Rule Waivers

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