ACO Name and Location

Caravan Health ACO 17 LLC
dba Central Oregon ACO
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 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)
IMAD AL-NAKSHABENDI M D P A	N
COAL COUNTRY COMMUNITY HEALTH CENTER	N
AMIR ZIA	N
Sam Kesri	N
GILA HEALTH RESOURCES	Y
NORTHWEST MEDICAL SPECIALIST LLC	N
PARVEEN S. VAHORA MD PA	N
CHRISTOPHER T. LABONTE MD LLC	Y
BMH, INC.	Y
Cascade Internal Medicine	N
MACKINAC STRAITS HEALTH SYSTEM INC	Y
CENTRAL MONTANA MEDICAL FACILITIES, INC	Y
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC	N
TITUSVILLE AREA HOSPITAL	N
MEADVILLE MEDICAL CENTER	Y
TITUSVILLE AREA HEALTH SERVICES, INC.	N
MEADVILLE PHYSICIAN SERVICES	N
FLORIDA UROLOGY PARTNERS LLP	N
ARCHBOLD MEDICAL GROUP, INC.	Y
La Pine Community Health Center	N
WISE CLINICAL CARE ASSOCIATES	N
TAHOE ORTHOPEDICS & SPORTS MEDICINE, INC.	N
St Charles Health System Inc	N
PETERSON MEDICAL ASSOCIATES	N
GOOSE LAKE MEDICAL SERVICES INC	N
BEND NEUROLOGICAL ASSOCIATES LLC	N
TAMPA GENERAL MEDICAL GROUP INC	N
KNOX COMMUNITY HOSPITAL	Y
PRESTON MEMORIAL HOSPITAL CORPORATION	Y
COMMONWEALTH HEALTH CORPORATION INC	Y
BOWLING GREEN INTERNAL MEDICINE AND	N
ST. MARGARETS HOSPITAL	Y
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION	Y
REMLO	N
MCDONOUGH COUNTY HOSPITAL DISTRICT	Y
EATON RAPIDS MEDICAL CENTER	Y
MCKENZIE MEMORIAL HOSPITAL	Y
HAYES GREEN BEACH MEMORIAL HOSPITAL	Y
ALCONA CITIZENS FOR HEALTH INC	Y
CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL INC	Y
HELEN NEWBERRY JOY HOSPITAL	Y
BARAGA COUNTY MEMORIAL HOSPITAL	Y
HILLSDALE COMMUNITY HEALTH CENTER	Y
WINONA HEALTH SERVICES	Y
MADISON HEALTHCARE SERVICES	Y
LAC QUI PARLE CLINIC OF MADISON, INC	N
BURGESS HEALTH CENTER	Y
IOWA SPECIALTY HOSPITAL-CLARION	Y
BELMOND COMMUNITY HOSPITAL	Y
GREATER REGIONAL MEDICAL CENTER	Y
KEOKUK COUNTY HEALTH CENTER	Y
GUTHRIE COUNTY HOSPITAL	Y
CRAWFORD COUNTY MEMORIAL HOSPITAL	Y
MISSOURI DELTA MEDICAL CENTER	Y
MICHAEL BURNELL	N
DAREK GUICHARD	N
COMMUNITY HOSPITAL ASSOCIATION	Y
PRESENTATION MEDICAL CENTER	Y
P R HEALTH CORPORATION	Y
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION	Y
HAZEN MEMORIAL HOSPITAL ASSOCIATION	Y
WEST RIVER HEALTH SERVICES	Y
ERICKSON CHIROPRACTIC PC	N
SOUTHWEST HEALTHCARE SERVICES	Y
THREE RIVERS HEALTH SYSTEM INC	Y
DAKIN OTOLARYNGOLOGY LLC	N
PFLIGER CHIROPRACTIC CLINIC PC	N
OPELOUSAS GENERAL HEALTH SYSTEM PHYSICIAN PRACTICES	N
MOUNT PLEASANT PHYSICIANS PLLC	N
CHARLOTTE FAMILY AND URGENT CARE CENTER PC	N
DMC PHYSICIAN GROUP LLC	N
DRAKE WHITE	N
CHEYENNE COUNTY HOSPITAL ASSOCIATION INC	Y
MEMORIAL COMMUNITY HOSPITAL CORPORATION	Y
CALLAWAY HOSPITAL DISTRICT	Y
BOX BUTTE GENERAL HOSPITAL	Y
FRENCH CREEK INTERNAL MEDICINE	N
CAROL B PEDDICORD MD PLLC	N
CCSG, INC	N
BOONE COUNTY HEALTH CENTER	Y
STONEWALL JACKSON MEMORIAL HOSPITAL	Y
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.	N
HOSPITAL AUTHORITY OF BEN HILL	N
ARCHBOLD HEALTH SERVICES, INC.	N
GRADY GENERAL HOSPITAL	N
COLQUITT COMPLETE CARE LLC	N
HOSPITAL AUTHORITY OF MITCHELL COUNTY	N
BROOKS COUNTY HOSPITAL	N
EMANUEL COUNTY HOSPITAL AUTHORITY	Y
IRWIN COUNTY HOSPITAL	N
THE HOSPITAL AUTHORITY OF MILLER COUNTY	Y
WASHINGTON COUNTY REGIONAL MEDICAL CENTER	N
FLORIDA HEALTH SCIENCES CENTER INC	Y
BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION	Y
K G SAHETYA PSC	N
ASSOCIATES IN PULMONARY AND CRITICAL CARE MEDICINE	N
PHYSICIAN MANAGEMENT SERVICES PSC	N
KLAUS SCHROEDER	N
OPELOUSAS GENERAL HOSPITAL	Y
ACADIANA MEDICINE CLINIC, APMC	N
C & M MEDICAL SERVICES INC	Y
DAREK L GUICHARD	N
SPRINGHILL MEDICAL SERVICES INC	Y
PULMONARY & DIGESTIVE CLINIC, INC.	N
ST. JAMES PARISH HOSP SERV DIST	Y
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY	Y
SCHOOLCRAFT MEMORIAL HOSPITAL	Y
SID PETERSON MEMORIAL HOSPITAL	Y
IMC-INTERNAL MEDICINE CONSULTANTS PA	N
DECATUR HOSPITAL AUTHORITY	Y
PEDIATRIC CLINIC, P.A.	N
TITUS COUNTY HOSPITAL DISTRICT	Y
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1	Y
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC	Y
ST LUKES COMMUNITY HOSPITAL	Y
FRANCES MAHON DEACONESS HOSPITAL	Y
SIDNEY HEALTH CENTER	Y
MARCUS DALY MEMORIAL HOSPITAL CORPORATION	Y
COMMUNITY HOSPITAL OF ANACONDA	Y
TOWNSEND HEALTH SYSTEMS INC	N
MISSOULA COMMUNITY HEALTH SERVICES, INC	N
PLAINS HOSPITAL CORPORATION	Y
VERDANT HEALTHCARE LLC	N
RMCHCS URGENT CARE LLC	N
SHC MEDICAL CENTER YAKIMA	N
SHC MEDICAL CENTER TOPPENISH	N
AMGIR, INC.	N
YUMA DISTRICT HOSPITAL	Y
EAST PHILLIPS COUNTY HOSPITAL DISTRICT	Y
CIBOLA GENERAL HOSPITAL CORPORATION	Y
NOR-LEA HOSPITAL DISTRICT	Y
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICE INC	Y
LAKE TAHOE ORTHOPAEDIC INSTITUTE A WATSON-SWANSON PROFESSIONAL CORP	N
EMILE C LI MD PLC	N
COLUMBIA COUNTY HOSPITAL DISTRICT	Y
OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3	Y
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1	Y
PALOUSE MEDICAL PS	N
YAKIMA VALLEY FARM WORKERS CLINIC	Y
PUBLIC HOSPITAL DISTRICT NO 1-A	Y
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION	Y
GRANT CO PUBLIC HOSPITAL DISTRICT 3	N
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6	Y
SAMARITAN HOSPITAL	Y
LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1	Y
GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 3	Y
ADAMS COUNTY HOSPITAL 2	Y
LAKE HEALTH DISTRICT	Y
MADRAS MEDICAL GROUP PC	N
NORTH BEND MEDICAL CENTER INC	N
Central Oregon Family Medicine PC	N
Mosaic Medical	N
TAHOE CARSON VALLEY MEDICAL GROUP INC	N
BARTON HEALTHCARE SYSTEM	Y
RIDGECREST REGIONAL HOSPITAL	Y
GENERAL CONFERENCE CORP OF SDA	Y
Margarita R Cancio MD PA	N
Southland Emergency Medical Services LLC	N
Emaunuel County Comimissioner of Roads & Revenue	N
WakeMed	Y
WakeMed Sepcialists Group, LLC	N
Wake Specialty Physicians LLC	N
Southland Hospitalist Group, LLC	N
Patricj K Hayden Logan Family Practice	N
Family Medical Center of Hart CO	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
Bertsch	Darrold	Secretary	1	ACO Participant Representative	Coal County Community Health Center
Barnett	Steve	Board Member	1	ACO Participant Representative	MCKENZIE MEMORIAL HOSPITAL
Guyn, MD	Jim	Vice-Chairman	1	ACO Participant Representative	St Charles Health System Inc
Schultz	Rachelle	Chairman	1	ACO Participant Representative	WINONA HEALTH SERVICES
Stern	Fred	Board Member	1	Medicare Beneficiary Representative	N/A
Hanson	Troy	Board Member	1	ACO Participant Representative	MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Olivares	Carlos	Board Member	1	ACO Participant Representative	YAKIMA VALLEY FARM WORKERS CLINIC
McDaniel	Amy	Board Member	1	ACO Participant Representative	IOWA SPECIALTY HOSPITAL-CLARION
Otten	Todd	ACO Medical Director	1	ACO Participant Representative	Hayes Green Breach Memorial Hospital
Clinton	Lee	Board Member	1	ACO Participant Representative	Titusville Area Hosptial
Pratt	Mary Ellen	Board Member	1	ACO Participant Representative	St. James Parish Hospital
Mills	Celia	Board Member	1	ACO Participant Representative	Ridgecrest Regional Hospital
McCutchan	Matt	Board Member	1	ACO Participant Representative	Greater Regional Medical Center

 
Key ACO clinical and administrative leadership:

Greg Paris	ACO Executive
Divya Sharma, 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	Jeremiah Brickhouse, Chairman
Care Coordination & Patient Engagement Committee	Megan Bielemeier, Chairman
Evidence-Based Medicine Committee	Dr. Laura Pennavaria, Chairman
Finance Committee	Jennifer Welander, Chairman
Quality & Performance Improvement Committee	Debi Dobkins, Chairman

 

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

• Critical Access Hospital (CAH) billing under Method II
• Federally Qualified Health Center (FQHC)
• ACO professionals in a group practice arrangement
• 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	79.75	86.14
ACO-2	CAHPS: How Well Your Providers Communicate	93.72	93.93
ACO-3	CAHPS: Patients’ Rating of Provider	91.28	92.45
ACO-4	CAHPS: Access to Specialists	76.63	81.50
ACO-5	CAHPS: Health Promotion and Education	59.43	59.26
ACO-6	CAHPS: Shared Decision Making	63.15	61.94
ACO-7	CAHPS: Health Status/Functional Status	71.81	73.35
ACO-34	CAHPS: Stewardship of Patient Resources	25.12	26.26
ACO-8	Risk Standardized, All Condition Readmission	14.64	14.98
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	18.48	18.59
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	35.07	37.01
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	71.10	76.75
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	47.41	59.00
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	1.48	1.98
ACO-11	Use of Certified EHR Technology	100.00	98.20
ACO-12	Medication Reconciliation Post-Discharge	96.25	85.91
ACO-13	Falls: Screening for Future Fall Risk	69.77	79.73
ACO-44	Use of Imaging Studies for Low Back Pain	68.18	64.36
ACO-14	Preventive Care and Screening: Influenza Immunization	78.01	72.71
ACO-15	Pneumonia Vaccination Status for Older Adults	81.47	75.97
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	54.26	76.83
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	64.71	72.81
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	52.85	66.74
ACO-19	Colorectal Cancer Screening	72.20	68.27
ACO-20	Breast Cancer Screening	68.70	71.96
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	87.50	81.47
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	12.80	15.51
ACO-41	Diabetes: Eye Exam	53.60	52.42
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	67.56	73.10
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	90.55	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.

• For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

 
Note: In the Quality Performance Results file(s) above, search for “Caravan Health ACO 17 LLC” or “Central Oregon ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A3580 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 17 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 December 20, 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. Out of an abundance of caution, the Board considered these arrangements again in light of the current status of Company’s ACO and renewed this determination through a formal resolution dated March 20, 2019.