ACO Name and Location

National Rural ACO 22 LLC
dba MORIN 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 Hospital dba Logansport Memorial Hospital Y
Missouri Delta Medical Center Y
Washington County Memorial Hospital Y
Lower Umpqua 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
Huntoon Jeanette Board Member 1 Board Member Memorial Hospital
dba Logansport Memorial Hospital
Gay Perry Chairman 1 ACO Participant Representative Memorial Hospital
dba Logansport Memorial Hospital
Fowler Ryan  Secretary/Treasurer 1 ACO Participant Representative Lower Umpqua Hospital District
Groves Lori Board Member 1 ACO Participant Representative Lower Umpqua Hospital District
Schrumpf Jason Vice Chairman 1 ACO Participant Representative Missouri Delta Medical Center
Fraser-Young Julie Board Member 1 ACO Participant Representative Missouri Delta Medical Center
Wells Laura Board Member 1 ACO Participant Representative Washington County Memorial Hospital
Meyer Michele Board Member 1 ACO Participant Representative Washington County Memorial Hospital
Layman Dan Board Member 1 Medicare Beneficiary Representative N/A
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Cory Neumann 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 Jody Henderson
Care Coordination & Patient Engagement Committee Megan McCrorey
Evidence-Based Medicine Committee Dr. Ron Shearer
Finance Committee Lori Groves
Quality & Performance Improvement Committee Tara Blohm
 
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 78.67 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 90.49 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.16 92.31
ACO-4 CAHPS: Access to Specialists 84.13 83.32
ACO-5 CAHPS: Health Promotion and Education 56.95 62.30
ACO-6 CAHPS: Shared Decision Making 75.43 75.85
ACO-7 CAHPS: Health Status/Functional Status 70.67 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 24.49 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.74 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.06 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 57.68 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 77.37 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 60.39 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.97 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 94.98 75.32
ACO-13 Falls: Screening for Future Fall Risk 81.75 74.38
ACO-44 Imaging Studies for Low Back Pain 70.97 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 74.24 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 66.40 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 71.43 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.71 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 68.57 61.98
ACO-19 Colorectal Cancer Screening 58.27 64.58
ACO-20 Breast Cancer Screening 63.05 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.26 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 24.50 16.74
ACO-41 Diabetes: Eye Exam 37.75 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 67.98 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.63 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 22 LLC” or “Oregon – Indiana ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A60541 in the public use files on data.cms.gov.

Payment Rule Waivers

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