ACO Name and Location

National Rural ACO 9 LLC
dba Suburban Health ACO II
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)
Suzanne Martini N
Internal Medicine Of South East Indiana N
New Castle Clinic, Inc. N
Suzanne Martini N
Henry County Memorial Hospital Y
Margaret Mary Community Hospital 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
Janssen Paul  Vice Chairman 1 ACO Participant Representative Henry County Memorial Hospital
Tewari Dr. Arun Board Member 1 ACO Participant Representative Henry County Memorial Hospital
Morris Cori Board Member  1 ACO Participant Representative Henry County Memorial Hospital
Brown Darin  Secretary/Treasurer 1 ACO Participant Representative Henry County Memorial Hospital
Putnam Tim  Chairman 1 ACO Participant Representative Margaret Mary Community Hospital Inc.
Keene Julie Board Member 1 ACO Participant Representative Margaret Mary Community Hospital Inc.
Craig Kari Board Member 1 ACO Participant Representative Margaret Mary Community Hospital Inc.
Lindenmeyer Mark Board Member  1 Medicare Beneficiary Representative N/A
 
Key ACO clinical and administrative leadership:
David Lippincott ACO Executive
Craig Wilson 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 Trisha Prickel, Chair
Care Coordination & Patient Engagement Committee Bev Schwier, Chair
Evidence-Based Medicine Committee Dr. Jeff Hatcher, Chair
Finance Committee Brian Daeger, Chair
Quality & Performance Improvement Committee Lisa Banks, Chair
 
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, $1,675,430
    • Performance Year 2016, $1,337,237
 
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: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%

Quality Performance Results

2017 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.63 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 90.99 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.22 92.31
ACO-4 CAHPS: Access to Specialists 85.50 83.32
ACO-5 CAHPS: Health Promotion and Education 64.84 62.30
ACO-6 CAHPS: Shared Decision Making 77.08 75.85
ACO-7 CAHPS: Health Status/Functional Status 69.42 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 28.71 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.89 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.93 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 57.06 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 85.72 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 66.70 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.54 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 81.62 75.32
ACO-13 Falls: Screening for Future Fall Risk 68.55 74.38
ACO-44 Imaging Studies for Low Back Pain 61.11 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 74.04 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 67.47 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 54.66 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.97 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 45.08 61.98
ACO-19 Colorectal Cancer Screening 64.92 64.58
ACO-20 Breast Cancer Screening 65.73 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.95 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.26 16.74
ACO-41 Diabetes: Eye Exam 36.95 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.97 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 92.34 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 9 LLC” or “Suburban Health ACO 2” to view the quality performance results. This ACO can also be found by using the ACO ID A43071 in the public use files on data.cms.gov.

Payment Rule Waivers

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