ACO Name and Location

National Rural ACO 13 LLC
dba New Hampshire 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)
Denis Lamontagne N
Littleton Hospital Association Y
Monadnock Community Hospital Y
Weeks Medical Center Y
Cottage Hospital Y
Upper Connecticut Valley Hospital Association Y
Androscoggin Valley Hospital, Inc. Y
Coos County Family Health Services Inc Y
Denis J Lamontagne, Dpm N
Indian Stream Health Center, Inc. Y
Ammonoosuc Community Health Services, Inc. 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
Shanshala Ed Board Member 1 ACO participant representative Ammonoosuc
Community Health Services, Inc.
Peterson Mike Board Member 1 ACO participant representative Androscoggin Valley Hospital 
Rappaport, Ph.D. John  Board Member 1 Medicare Beneficiary Representative N/A
West Warren Board Member 1 ACO participant representative Androscoggin Valley Hospital (NCH)
Gordon Ken Board Member 1 ACO participant representative Coos County Family Health Services
Ryan  Maria  Board Member 1 ACO participant representative Cottage Hospital 
Woods Karen Secretary 1 ACO participant representative Cottage Hospital 
Culley  Gregory Board Member 1 ACO participant representative Indian Stream Health Center
Nutter Bob  Board Member 1 ACO participant representative Littleton Regional Healthcare 
Scheinblum  Richard  Vice Chairman / Treasurer 1 ACO participant representative Monadnock Community Hospital 
Colby Scott Chairman 1 ACO participant representative Upper Connecticut Valley Hospital Association, Inc. 
Lee Michael  Board Member 1 ACO participant representative Weeks Medical Center 
  
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Dave Amin 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  Rick Federick
Care Coordination & Patient Engagement Committee  Trish Peters
Evidence-Based Medicine Committee  Dr. Marlene Sarkis
Finance Committee  Ed Shanshala
Quality & Performance Improvement Committee  Nancy Russell
 
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
  • Federally Qualified Health Center (FQHC)
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2017, $2,344,335
    • Performance Year 2016, $0
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: 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 82.53 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 91.11 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.52 92.31
ACO-4 CAHPS: Access to Specialists 80.65 83.32
ACO-5 CAHPS: Health Promotion and Education 64.95 62.30
ACO-6 CAHPS: Shared Decision Making 75.96 75.85
ACO-7 CAHPS: Health Status/Functional Status 74.84 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 30.09 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.60 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.45 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 49.60 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 77.04 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.34 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.11 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 95.26 75.32
ACO-13 Falls: Screening for Future Fall Risk 66.67 74.38
ACO-44 Imaging Studies for Low Back Pain 64.38 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 79.50 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 85.07 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 63.71 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.50 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 61.72 61.98
ACO-19 Colorectal Cancer Screening 69.29 64.58
ACO-20 Breast Cancer Screening 68.27 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.35 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 10.44 16.74
ACO-41 Diabetes: Eye Exam 57.03 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 71.20 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 96.17 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 13 LLC” or “New Hampshire Rural ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A69337 in the public use files on data.cms.gov.

Payment Rule Waivers

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