ACO Name and Location

National Rural ACO 18 LLC
North Mississippi Connected Care Alliance
7509 NW Tiffany Springs Parkway
Suite 310
Kansas City, MO 64153

 ACO Primary Contact

Primary Contact Name Desiree Brewer
Primary Contact Phone Number 916-542-4582
Primary Contact Email Address dbrewer@caravanhealth.com

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
North East Orthopaedics PA N
R. Allen Butler, MD, PA N
Family Care Clinic of Ripley N
Clyde Phillips N
James White N
North Mississippi Medical Center Services, LLC N
North Mississippi Faculty Practice N
North Mississippi Sports Medicine & Orthopaedic Clinic Pllc N
Relias Emergency Medicine Specialists of Tupelo, LLC N
Surgery Clinic of Tupelo PA N
Surgery Associates PA N
North Mississippi Medical Center, Inc. Y
Clay County Medical Corporation N
Tishomingo Health Services, Inc. N
Pontotoc Health Services, Inc. N
North Mississippi Medical Clinics Inc N
Webster Health Services, Inc. N
Marion Regional Medical Center, Inc. N
North Mississippi Electrophysiology, Llc 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
Barber David Executive Director 1 Chairman North Mississippi Medical Clinics Inc.
Toppin Bruce Vice President, General Counsel 1 Vice-Chairman North Mississippi Medical Clinics Inc.
Kimbrough Gerald Department Director Central Billing 1 Treasurer North Mississippi Medical Clinics Inc.
Hammock Sarah Population Health Program Manager 1 Secretary North Mississippi Medical Clinics Inc.
Gray Tina Population Health Manager/Care Coordinator 1 ACO participant representative North Mississippi Medical Clinics Inc.
Greer Lee Chief Quality and Safety Officer 1 ACO participant representative North Mississippi Medical Clinics Inc.
Robinson John Chairman of the North MS Medical Clinics Board 1 Medicare Beneficiary Representative  
Sachdev Vishal CMIO 1 ACO participant representative North Mississippi Medical Clinics Inc.
Dukes Erik Regional Medical Director 1 ACO participant representative North Mississippi Medical Clinics Inc.
 
Key ACO clinical and administrative leadership:
David Barber ACO Executive
Lee Greer 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  Slayton Austria
Care Coordination & Patient Engagement Committee  Sarah Hammock
Evidence-Based Medicine Committee  Dr. Lee Greer
Finance Committee  Joe Reppert
Quality & Performance Improvement Committee  Marsha Tapscott
 
Types of ACO participants, or combinations of participants, that formed the ACO:
  • Hospital employing ACO professionals

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 80.06 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 95.43 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 94.51 92.31
ACO-4 CAHPS: Access to Specialists 86.54 83.32
ACO-5 CAHPS: Health Promotion and Education 63.71 62.30
ACO-6 CAHPS: Shared Decision Making 75.28 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.58 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 35.76 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.00 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.20 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 58.16 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 82.01 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 64.92 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.20 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 99.07 75.32
ACO-13 Falls: Screening for Future Fall Risk 99.05 74.38
ACO-44 Imaging Studies for Low Back Pain 70.27 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 88.89 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 80.08 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 97.69 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100.00 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 67.60 61.98
ACO-19 Colorectal Cancer Screening 72.51 64.58
ACO-20 Breast Cancer Screening 80.29 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 89.32 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 12.70 16.74
ACO-41 Diabetes: Eye Exam 61.51 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 57.09 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 93.55 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 18 LLC” or “North Mississippi Connected Care Alliance” to view the quality performance results. This ACO can also be found by using the ACO ID A85619 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.