ACO Name and Location

National Rural ACO 3 LLC
dba Winding River 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)
William Guyette N
Karen L. Smith MD, PA Y
Fredericksburg Family Clinic, P.A. N
Karen Smith Y
Hill Country Physicians Associates N
Wise Clinical Care Associates Y
C Lance Love MDPA Y
Hill Country Primary Care Physicians N
Monroe Medical Foundation, Inc. Y
Ohio County Hospital Corporation Y
William Carter N
Rhea Medical Center Physician Group N
HUGH CHATHAM MEMORIAL HOSPITAL INC Y
Surry Regional Health Services, Inc. Y
Parkwood Eye Center, P.A. N
Northwest Medical Partners, P.A. Y
Northern Hospital of Surry County Y
THE JAMES B HAGGIN MEMORIAL HOSPITAL INC Y
Livingston Hospital and Healthcare Services, Inc. Y
Breckinridge Health, Inc. Y
Mike Carter Md Pllc N
CCMH Corporation Y
Tompkinsville Primary Care N
William Guyette N
Rhea Medical Center Y
Fredericksburg Clinic, PA N
Michael Jones N
Mid-Texas Health Care Assn., P.A. N
Blanco Regional Clinic PA N
Pedernales Medical Group LLP N
Hill Country Memorial Community Services Corporation N
Hill Country Memorial Hospital Y
Decatur Hospital Authority N
Ephraim McDowell Haggin Physicians, LLC 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
Portman Angel Board Member 1 ACO Participants Representative Breckinridge Health
Hays Harry
M.
Board Member 1 ACO Participants Representative Carroll County Memorial Hospital (CCMH)
Pope Jayne  Board Member 1 ACO Participants Representative Hill Country Memorial Hospital
Stanley Mike Board Member 1 Medicare Beneficiary Representative N/A
Hammes Paul  Board Member 1 ACO Participants Representative Hugh Chatham Memorial Hospital
Smith  Karen  Board Member 1 ACO Participants Representative Karen Smith, MD, PA
Snodgrass Elizabeth Chairman 1 ACO Participants Representative Livingston Hospital and Healthcare Services, Inc
McFall Vicky Secretary 1 ACO Participants Representative Monroe County Medical Center
Hodgin Robin Board Member 1 ACO Participants Representative Northern Hospital of Surry County
Pieper Blaine Board Member 1 ACO Participants Representative Ohio County Hospital 
Bixler David Board Member 1 ACO Participants Representative Rhea Medical Center
Warner Lynne Board Member 1 ACO Participants Representative The James B Haggin Memorial Hospital
Aslin Paul Vice-Chairman 1 ACO Participants Representative Wise Clinical Care Associates
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Paul Gulley, MD 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 Brad Lowe, Chair
Care Coordination & Patient Engagement Committee Crystal Poindexter, Chair
Evidence-Based Medicine Committee Dr. Swaran Chani, Chair
Finance Committee Kent Giles, Chair
Quality & Performance Improvement Committee Tana Myrick, 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, $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 78.90 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.08 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 92.88 92.31
ACO-4 CAHPS: Access to Specialists 83.05 83.32
ACO-5 CAHPS: Health Promotion and Education 61.21 62.30
ACO-6 CAHPS: Shared Decision Making 78.86 75.85
ACO-7 CAHPS: Health Status/Functional Status 70.95 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 31.36 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.58 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.12 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 51.42 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 78.58 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.93 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.47 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 70.99 75.32
ACO-13 Falls: Screening for Future Fall Risk 73.15 74.38
ACO-44 Imaging Studies for Low Back Pain 59.12 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 74.90 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 78.60 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 77.69 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.58 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 58.17 61.98
ACO-19 Colorectal Cancer Screening 76.47 64.58
ACO-20 Breast Cancer Screening 69.69 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 77.91 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.23 16.74
ACO-41 Diabetes: Eye Exam 58.50 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 62.69 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.02 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 3 LLC” or “Winding River ACO” to view the quality performance results. This ACO can also be
found by using the ACO ID A58031 in the public use files on data.cms.gov.

Payment Rule Waivers

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