ACO Name and Location
Caravan Health ACO 12 LLC
dba Wilderness Health ACO
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) |
| St. Luke’s Hospital of Duluth |
Y |
| International Falls Memorial Hospital Association |
Y |
| Community Memorial Hospital Association |
Y |
| Lake View Memorial Hospital, Inc. |
Y |
| MOOSE LAKE COMMUNITY HOSPITAL DISTRICT |
N |
| ORTHOPEDIC ASSOCIATES OF DULUTH, P.A. |
N |
| LABORATORY MEDICINE SPECIALISTS OF DULUTH |
N |
| Northland Gastroenterology, P. A. |
N |
| Range Foot & Ankle PLC |
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 |
| Terhaar |
Kim |
Secretary |
1 |
ACO Participant Representative |
St. Luke’s Hospital of Duluth |
| Beardsly |
Cassandra |
Executive Director |
1 |
ACO Participant Representative |
St. Luke’s Hospital of Duluth |
| Lower |
Trina |
Non-Voting Member |
0 |
ACO Participant Representative |
Mercy Hospital |
| Perterson |
Dr. Gary |
ACO Medical Director |
0 |
ACO Participant Representative |
St. Luke's Hospital of Duluth |
| Nokels |
Kevin |
Vice-Chairman |
1 |
ACO Participant Representative |
St. Luke’s Hospital of Duluth |
| Ruberg |
Greg |
Chairman |
1 |
ACO Participant Representative |
Lake View Memorial Hospital, Inc. |
| Breurer |
Rick |
Treasurer |
1 |
ACO Participant Representative |
Community Memorial Hospital Association |
| Pastor |
Robert |
Board Member |
1 |
ACO Participant Representative |
Rainy Lake Medical Center |
| Hall |
Ed |
Board Member |
1 |
Medicare Beneficiary
Representative |
|
Key ACO clinical and administrative leadership:
| Greg Paris |
ACO Executive |
| Gary Peterson, 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 |
Mike Kongsjord, Chairman |
| Care Coordination & Patient Engagement Committee |
Ben Bengtson, Chairman |
| Evidence-Based Medicine Committee |
Gary Peterson, Chairman |
| Finance Committee |
Eric Lohn, Chairman |
| Quality & Performance Improvement Committee |
Kathy Johnson, 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
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 |
84.69 |
86.14 |
| ACO-2 |
CAHPS: How Well Your Providers Communicate |
95.15 |
93.93 |
| ACO-3 |
CAHPS: Patients’ Rating of Provider |
93.37 |
92.45 |
| ACO-4 |
CAHPS: Access to Specialists |
82.13 |
81.50 |
| ACO-5 |
CAHPS: Health Promotion and Education |
60.67 |
59.26 |
| ACO-6 |
CAHPS: Shared Decision Making |
62.70 |
61.94 |
| ACO-7 |
CAHPS: Health Status/Functional Status |
75.07 |
73.35 |
| ACO-34 |
CAHPS: Stewardship of Patient Resources |
22.82 |
26.26 |
| ACO-8 |
Risk Standardized, All Condition Readmission |
15.09 |
14.98 |
| ACO-35 |
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) |
18.34 |
18.59 |
| ACO-36 |
All-Cause Unplanned Admissions for Patients with Diabetes |
39.77 |
37.01 |
| ACO-37 |
All-Cause Unplanned Admissions for Patients with Heart Failure |
73.72 |
76.75 |
| ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
62.79 |
59.00 |
| ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) |
2.11 |
1.98 |
| ACO-11 |
Use of Certified EHR Technology |
100.00 |
98.20 |
| ACO-12 |
Medication Reconciliation Post-Discharge |
87.26 |
85.91 |
| ACO-13 |
Falls: Screening for Future Fall Risk |
53.63 |
79.73 |
| ACO-44 |
Use of Imaging Studies for Low Back Pain |
80.00 |
64.36 |
| ACO-14 |
Preventive Care and Screening: Influenza Immunization |
67.84 |
72.71 |
| ACO-15 |
Pneumonia Vaccination Status for Older Adults |
79.12 |
75.97 |
| ACO-16 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up |
26.61 |
76.83 |
| ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
15.79 |
72.81 |
| ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
52.82 |
66.74 |
| ACO-19 |
Colorectal Cancer Screening |
61.69 |
68.27 |
| ACO-20 |
Breast Cancer Screening |
65.32 |
71.96 |
| ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
82.52 |
81.47 |
| ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
14.92 |
15.51 |
| ACO-41 |
Diabetes: Eye Exam |
62.90 |
52.42 |
| ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
68.73 |
73.10 |
| ACO-30 |
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet |
94.82 |
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 12 LLC” or “Wilderness Health ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A3575 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 12 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 March 16, 2018, 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.