2019-a ACO
Caravan Health ACO 20 LLC

ACO Name and Location

Caravan Health ACO 20 LLC
dba Stratum Med ACO
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 64153

 

ACO Primary Contact

Primary Contact Name	Riley Page
Primary Contact Phone Number	916-542-4717
Primary Contact Email Address	rpage@caravanhealth.com

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Carle Health Care Incorporated	Y
Hoopeston Community Memorial Hospital	N
Richland Memorial Hospital	N
Central Washington Health Services Association	Y
Wenatchee Valley Hospital	N
Hutchinson Clinic PA Inc	Y
Christie Clinic, LLC	Y
McFarland Clinic, PC	Y
Hutchinson Physicians PA	N
Jefferson City Medical Group, PC	Y
JCMG Ancillary Services LLC	N
JCMG Mental Health LLC	N
The Iowa Clinic PC	Y
JCMG Surgery Center, Inc.	N
Mankato Clinic, LTD.	Y
Mankato Clinic Endoscopy Center, LLC	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
Vogelsang	April	Board Member	1	ACO Participant Representative	Carle Hospital and Physician Group
Taylor	Christi	ACO Medical Director	1	ACO Participant Representative	The Iowa Clinic, P.C.
Garrison, MD	Mitchell	Board Member	1	ACO Participant Representative	Confluence Health
Heck	Mike	Vice-Chairman	1	ACO Participant Representative	Hutchinson Clinic
Perry	Andrew	Secretary	1	ACO Participant Representative	McFarland Clinic
Vallier	Ben	Treasurer	1	ACO Participant Representative	Jefferson City Medical Group
Kramer	Trent	ACO Executive Director	1	ACO Participant Representative	Stratum Med
Koger	Ben	Board Member	1	ACO Participant Representative	Stratum Med
Zielke	David	Chairman	1	ACO Participant Representative	The Iowa Clinic. P.C.
Bilger	Kerry	Board Member	1	ACO Participant Representative	Christie Clinic
Farrow	Randy	Board Member	1	ACO Participant Representative	Mankato Clinic, Ltd.
Kolner	Stuart	Board Member	1	ACO Medicare Benediciary	N/A

 
Key ACO clinical and administrative leadership:

Trent Kramer	ACO Executive
Verlin Janzen	Medical Director
Leeann Hastings	Compliance Officer
Rayna Caplan	Quality Assurance/Improvement Officer

 
Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Executive Committe	David Zielke- Chairman
Steering Committee	Trent Kramer-Executive Director

 
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

 

Shared Savings and Losses

Amount of Shared Savings/Losses

• First Agreement Period
  • Performance Year 2019, $4,237,354.12

Shared Savings Distribution

• First Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 90%

 

Quality Performance Results

2019 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	80.83	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	94.27	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	92.01	92.69
ACO-4	CAHPS: Access to Specialists	79.62	81.54
ACO-5	CAHPS: Health Promotion and Education	57.86	60.44
ACO-6	CAHPS: Shared Decision Making	57.69	62.78
ACO-7	CAHPS: Health Status/Functional Status	75.16	73.79
ACO-34	CAHPS: Stewardship of Patient Resources	24.84	26.17
ACO-45	CAHPS: Corteous and Helpful Office Staff	93.50	92.84
ACO-46	CAHPS: Care Coordination	86.07	86.89
ACO-8	Risk Standardized, All Condition Readmission	13.43	14.86
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	59.28	58.15
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	1.68	1.87
ACO-13	Falls: Screening for Future Fall Risk	84.36	84.04
ACO-14	Preventive Care and Screening: Influenza Immunization	86.50	74.77
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	77.27	78.04
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	83.77	70.40
ACO-19	Colorectal Cancer Screening	78.29	70.76
ACO-20	Breast Cancer Screening	80.00	73.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	85.71	82.17
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	9.32	13.88
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	77.99	75.04

Payment Rule Waivers

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