ACO Name and Location

National Rural ACO 12 LLC
dba Southern Michigan Rural ACO
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)
Allegan Professional Health Services, Inc Y
Sturgis Hospital Inc Y
Allegan General Hospital Y
Deckerville Community Hospital, Inc Y
Bronson South Haven Hospital Y
Hayes Green Beach Memorial Hospital Y
Hillsdale Community Health Center Y
Community Health Center of Branch County Y
Memorial Hospital, Inc. Y
Three Rivers Health System, Inc Y
Charlotte Family and Urgent Care Center PC 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
Barbini Gerald  Board Member 1 ACO participant representative Allegan General Hospital
DeGroot Randy  Board Member 1 ACO participant representative Community Health Center of Branch County
Rush Matthew  Vice Chairman 1 ACO participant representative Hayes Green Beach Memorial Hospital
Anderson Duke  Secretary/Treasurer 1 ACO participant representative Hillsdale Community Health
Neville Ryan  Board Member 1 ACO participant representative Memorial Medical Center
Richardson Kirk  Board Member 1 ACO participant representative South Haven Health System
LaBarge Robert  Chairman 1 ACO participant representative Sturgis Hospital
Russell William  Board Member 1 ACO participant representative Three Rivers Health
Bendure Ray Board Member 1 Medicare Beneficiary Representative N/A 
 
Key ACO clinical and administrative leadership:
John Barnas ACO Executive
Todd Otten 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 Sheila Puffenberger
Care Coordination & Patient Engagement Committee  Pam Boswell
Evidence-Based Medicine Committee  Dr. Karen Luparello
Finance Committee  Valerie Fetters
Quality & Performance Improvement Committee  John Robertson
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, $2,278,564
    • 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 76.88 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 90.06 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 88.99 92.31
ACO-4 CAHPS: Access to Specialists 83.16 83.32
ACO-5 CAHPS: Health Promotion and Education 57.55 62.30
ACO-6 CAHPS: Shared Decision Making 74.00 75.85
ACO-7 CAHPS: Health Status/Functional Status 73.52 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 25.57 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.05 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.43 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 52.00 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 84.99 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 65.50 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.12 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 87.31 75.32
ACO-13 Falls: Screening for Future Fall Risk 69.88 74.38
ACO-44 Imaging Studies for Low Back Pain 58.82 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 67.24 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 71.08 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 61.98 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.50 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 55.33 61.98
ACO-19 Colorectal Cancer Screening 68.55 64.58
ACO-20 Breast Cancer Screening 76.71 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.79 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.06 16.74
ACO-41 Diabetes: Eye Exam 52.61 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 68.24 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 89.96 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 12 LLC” or “Southern Michigan Rural ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A17748 in the public use files on data.cms.gov.

Payment Rule Waivers

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