ACO Name and Location

National Rural ACO 23 LLC
dba Mountain West 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)
Ravalli Family Medicine, LLC N
Rajohn Karanjai Md Pc N
St. Lukes Community Hospital Y
Sidney Health Center Y
Marcus Daly Memorial Hospital Corporation Y
NORTH VALLEY HOSPITAL INC Y
Community Hospital of Anaconda Y
Barrett Hospital Development Corporation Y
Townsend Health Systems Inc dba Broadwater Health Care Y
Plains Hospital Corporation dba Clark Fork Valley Hospital & Family Medicine Network Y
Gritman Medical Center Inc Y
Steele Memorial Medical Center Y
Cody Regional Health  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
Westman Ken Board Member 1 ACO participant representative Barrett Hospital Development Corporation
Hopstad Kyle Board Member 1 ACO participant representative Townsend Health Systems Inc dba Broadwater Health Care
Hanson Gregory Secretary/Treasurer 1 ACO participant representative Plains Hospital Corporation dba Clark Fork Valley Hospital & Family Medicine Network
Villa JoEllen Board Member 1 ACO participant representative Community Hospital of Anaconda
Besst Kara Board Member 1 ACO participant representative Gritman Medical Center
Bartos John Board Member 1 ACO participant representative Marcus Daly Memorial Hospital
LaSalle Sonny Board Member 1 Medicare Beneficiary Representative N/A
Spring Jason Board Member 1 ACO participant representative North Valley Hospital
Doty Jennifer Board Member 1 ACO participant representative Sidney Health Center
Todd Steve Board Member 1 ACO participant representative St. Luke Community Hospital
Gentry Jeanie Vice Chairman 1 ACO participant representative Steele Memorial Medical Center
McMillan Doug Chairman 1 ACO participant representative Cody Regional Health formerly West Park Hospital District
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Allen Jones 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 Lance Loving
Care Coordination & Patient Engagement Committee Cherie Quigley
Evidence-Based Medicine Committee Dr. Rajohn Karanjai
Finance Committee Alan Aldrich
Quality & Performance Improvement Committee Julie Reiman
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 75.32 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 91.79 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 91.51 92.31
ACO-4 CAHPS: Access to Specialists 80.33 83.32
ACO-5 CAHPS: Health Promotion and Education 60.51 62.30
ACO-6 CAHPS: Shared Decision Making 76.76 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.63 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 27.96 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.65 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.29 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 58.02 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 74.66 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 66.27 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.84 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 67.69 75.32
ACO-13 Falls: Screening for Future Fall Risk 60.40 74.38
ACO-44 Imaging Studies for Low Back Pain 65.85 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 69.58 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 71.77 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 64.35 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.00 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 36.93 61.98
ACO-19 Colorectal Cancer Screening 63.10 64.58
ACO-20 Breast Cancer Screening 67.87 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.41 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.28 16.74
ACO-41 Diabetes: Eye Exam 53.41 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 64.40 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 88.93 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 23 LLC” or “Mountain West ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A38567 in the public use files on data.cms.gov.

Payment Rule Waivers

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