ACO Name and Location

Caravan Health ACO 15 LLC
dba Prairie Vista Care Organization
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 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)
Hendricks Community Hospital Assn & Retirement Home Y
Avera Tyler Y
Avera Marshall Y
Pipestone County Medical Center Y
Granite Falls Municipal Hospital and Manor Y
AVERA HOLY FAMILY Y
SIOUX CENTER HEALTH Y
Hegg Memorial Hospital Y
ST BENEDICT HEALTH CENTER Y
Freeman Regional Health Services Y
PLATTE COMMUNITY MEMORIAL HOSPITAL INC Y
MARSHALL COUNTY MEMORIAL HOSPITAL Y
LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION Y
AVERA ST ANTHONYS HOSPITAL 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
Gemar Greg Board Member 1 Medicare Beneficiary Representative N/A
Gale Melissa Vice-Chairman 1 ACO Participant Representative Avera 
Maertens Mary Board Member 1 ACO Participant  Avera
Hohman Curt Board Member 1 ACO Participant Representative Avera
Zevenbergen Glenn Board Member 1 ACO Participant Representative Hegg Memorial Hospital
Burris Brad Board Member 1 ACO Participant Representative Pipestone County Medical Center
Brandner Nick Board Member 1 ACO Participant Representative Freeman Regional Health Services
Kooiman Tom Board Member 1 ACO Participant Representative Granite Fall Municipal Hospital and Manor
Gollaher Jeff Board Member 1 ACO Participant Representative Hendricks Community Hospital Assn & Retirement Home
Blasius Rita Chairman 1 ACO Participant Representative Avera
Bergeleen Teri Board Member 0 ACO Participant Representative Avera
Burket Mark Board Member 1 ACO Participant Representative Avera 
Herzberg Deb Board Member 1 ACO Participant Representative  Avera
Nelson Cory Board Member 1 ACO Participant Representative Sioux Center Health
Sanger Larissa Board Member 1 ACO Participant Representative Avera
Consbruck Todd Board Member 1 ACO Participant Representative Avera 
Basal Daivd ACO Medical Director 1 ACO Participant Representative  Avera 
Fosness Nick Board Member 1 ACO Participant Representative Avera 
 
Key ACO clinical and administrative leadership:
David Flicek ACO Executive
David Basel, 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 Eric Boyce, Chairman
Care Coordination & Patient Engagement Committee Sandy Crisp, Chairman
Evidence-Based Medicine Committee David Basel, Chairman
Finance Committee Will Flett, Chairman
Quality & Performance Improvement Committee Bret Kollars, Chairman
 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Critical Access Hospital (CAH) billing under Method II
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Rural Health Clinic (RHC)
 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
 

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018
      • 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

2018 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.98 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.07 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.96 92.45
ACO-4 CAHPS: Access to Specialists 84.29 81.50
ACO-5 CAHPS: Health Promotion and Education 60.71 59.26
ACO-6 CAHPS: Shared Decision Making 63.59 61.94
ACO-7 CAHPS: Health Status/Functional Status 73.89 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 30.78 26.26
ACO-8 Risk Standardized, All Condition Readmission 13.75 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.61 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 37.50 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 73.99 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 58.40 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.30 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation Post-Discharge 79.23 85.91
ACO-13 Falls: Screening for Future Fall Risk 97.66 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 61.29 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 81.51 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 86.50 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 71.89 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.58 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 70.65 66.74
ACO-19 Colorectal Cancer Screening 71.33 68.27
ACO-20 Breast Cancer Screening 75.17 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.07 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.88 15.51
ACO-41 Diabetes: Eye Exam 47.51 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 71.24 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 95.18 88.92
 
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.  
Note: In the Quality Performance Results file(s) above, search for “Caravan Health ACO 15 LLC” or “Prairie Vista Care Organization” to view the quality performance results. This ACO can also be found by using the ACO ID A3578 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.
Arrangements Disclosed
 
The ACO Board of Managers for Caravan Health ACO 15 LLC (“Board”) has formally determined the following arrangements are reasonably related to the purposes of the Medicare Shared Savings Program (“MSSP”), as required for use of the MSSP ACO Participation Waiver:
 
Participant Support Arrangements
 
Under the applicable Participant Agreements between the ACO and the Participants listed above, certain Participants are designated as Principal Participants and others are Non-Principal Participants.  Under the Service Agreements between each Participant and Caravan Health, Inc., the Principal Participants have agreed to pay for certain ACO-related expenses of the Non-Principal Participants in their respective regions, including management fees owed by each Non-Principal Participant.  In each case, the fees and other expenses paid by the Principal Participants on behalf of the Non-Principal Participants will be set in advance, will not vary based on the volume or value of any referrals between the Principal Participants and Non-Principal Participants (except to the extent such referrals indirectly contribute to the earning of shared savings or shared losses as applicable).
 
Through a formal resolution dated November 29, 2017, the Board determined that these arrangements are reasonably related to the purposes of the Medicare Shared Savings Program because they facilitate the participation of the Non-Principal Participants in the Medicare Shared Savings Program, which: i) promotes the accountability of Non-Principal Participants for the quality, cost, and overall care for a Medicare patient population as described in the Shared Savings Program; ii) promotes the management and coordination of care for Medicare fee-for-service beneficiaries attributed to Non-Principal Participants through an ACO; and iii) encourages investment in infrastructure and redesigned care processes for high quality and efficient service delivery for patients, including Medicare beneficiaries, served by Non-Principal Participants.