ACO Name and Location

National Rural ACO 14 LLC
dba Ohio River Basin 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)
FTMC Medical Care, LLC N
David Nally N
Joel Knerr N
Knox Community Hospital Y
Buckeye Medical, Inc. N
Joel Knerr N
Ball Medical Clinic, Inc. N
Bellevue Professional Services N
The Bellevue Hospital N
Fisher-Titus Medical Center Y
Glen Dale Medicine & Pediatrics, PLLC N
Zaveen Kureishy N
KIM E KNIGHT M.D., LLC N
Reynolds Memorial Hospital Y
Davis Memorial Hospital Y
Broaddus Hospital Association, Inc. Y
Stonewall Jackson Memorial Hospital Company Y
Grant Memorial Hospital Y
David Nally N
VALLEY HEALTH CARE, INC N
Dr Zaveen A Kureishy N
North Central Family Physicians Inc 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
Gould Dana Board Member 1 ACO participant representative Broaddus Hospital 
Jackson Vance Treasurer 1 ACO participant representative Davis Memorial Hospital
Gross Matt Board Member 1 ACO participant representative Fisher-Titus Medical Center
Snead Raymond Board Member 1 ACO participant representative Grant Memorial Hospital
White Bruce  Chairman 1 ACO participant representative Knox Community Hospital
Hess David Vice-Chairman 1 ACO participant representative Reynolds Memorial Hospital
Stalnaker Avah Secretary  1 ACO participant representative Stonewall Jackson Memorial Hospital
Said, MD Farid Board Member  1 Medicare Beneficiary representative N/A
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Shankar Kurra 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 Brett Taylor
Care Coordination & Patient Engagement Committee Marianne Schoen
Evidence-Based Medicine Committee Dr. Joel Knerr
Finance Committee Michael Holliday
Quality & Performance Improvement Committee  Jenny Helt
 
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)

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 77.15 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.12 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.00 92.31
ACO-4 CAHPS: Access to Specialists 84.02 83.32
ACO-5 CAHPS: Health Promotion and Education 57.39 62.30
ACO-6 CAHPS: Shared Decision Making 75.97 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.87 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 32.11 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.92 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.66 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 58.43 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 86.38 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 66.10 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.60 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 65.83 75.32
ACO-13 Falls: Screening for Future Fall Risk 86.00 74.38
ACO-44 Imaging Studies for Low Back Pain 55.26 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 70.69 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 64.94 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 80.93 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.15 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 66.41 61.98
ACO-19 Colorectal Cancer Screening 54.44 64.58
ACO-20 Breast Cancer Screening 61.04 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.74 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 22.58 16.74
ACO-41 Diabetes: Eye Exam 39.92 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.55 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.12 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 14 LLC” or “Ohio River Basin ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A41540 in the public use files on data.cms.gov.

Payment Rule Waivers

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