ACO Name and Location

Caravan Health ACO 41 LLC
dba Avera Prairie View ACO
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 64153

 

ACO Primary Contact

Primary Contact Name Desiree Brewer
Primary Contact Phone Number 916-542-4705
Primary Contact Email Address dbrewer@caravanhealth.com

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Avera McKennan Y
City of Brookings  Y
Heart Hospital of South Dakota LLC Y
Avera St. Marys  Y
Avera St. Lukes Y
Avera Queen of Peace  Y
Lakes Regional Hospital Y
Floyd Valley Hospital Y
Spencer Municipal Hospital Y
Rural Health Care Inc  Y
Anesthesiology Associates, Inc. N
Midwest Ear, Nose & Throat Associates PC N
Northwest Iowa Urologist OC N
NWIA Bone, Joint & Sports Surgeons, PC N
Northwest Iowa Ear Nose and Throat PC N
Opthalmology LTD N
Surgical Institute of South Dakota PC N
Midwest Radiology and Imaging PC N
Ophthalmology LTD Eye Surgery Center LLC N
Northwest Iowa Surgeons PC N
Orthopaedics PC N
Northwest Iowa Anesthesia Associates  N
Physicians Laboratory, LTD. N
Physicians Laboratory of Northwest Iowa LTD N
USC Ambulatory Surgical Center Prof LLC N
Urology Specialists Chartered  N
Yankton Medical Clinic PC N
Sacred Heart Health Services  Y
Avera At Home 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
Bates  Rob  Board Member 1 ACO Participant Representative Avera St. Marys 
Flicek David Board Member 1 ACO Participant Representative Avera Mckennan
Bumgarner William Board Member 1 ACO Participant Representative Spencer Municipal Hospital
Basel, MD David  Board Member  1 ACO Participant Representative Avera McKennan
Ekeren Doug Board Member 1 ACO Participant Representative Avera Sacred Heart 
Clark Tom Board Member  1 ACO Participant Representative Avera Queen of Peace
Forkel  Todd Board Member 1 ACO Participant Representative Avera St. Luke
Gibbs Michael Board Member 1 ACO Participant Representative Heart Hospital of South Dakota LLC
Hardwick Jim Board Member 1 ACO Participant Representative Rural Health Care Inc. 
Harrington  Jason Board Member 1 ACO Participant Representative Lakes Regional Healthcare 
Wright Dustin Board Member 1 ACO Participant Representative Floyd Valley 
Merkley Jason Board Member 1 ACO Participant Representative City of Brookings
Fanta, MD Susan Board Member 1 ACO Participant Representative Sacred Heart Health Services 
Clark Patrick Board Member 1 ACO Medicare Beneficiary  Avera McKennan
Timpe David Board Member 0 ACO Participant Representative Avera McKennan
Bergeleen Teri Board Member 0 ACO Participant Representative Avera McKennan Hospital and University Health System
 
Key ACO clinical and administrative leadership:
David Flicek ACO Executive
Dr. David Basel Medical Director
Leeann Hastings Compliance Officer
Eric Boyce Quality Assurance/Improvement Officer
 
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Executive Committee David Flicek-Chairman 
Steering Committee Rob Bates- Vice-Chairman 
 
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

mount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2019, $0
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2019
      • 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

9 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 88.85 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 94.65 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 93.34 92.69
ACO-4 CAHPS: Access to Specialists 80.83 81.54
ACO-5 CAHPS: Health Promotion and Education 61.31 60.44
ACO-6 CAHPS: Shared Decision Making 59.38 62.78
ACO-7 CAHPS: Health Status/Functional Status 73.80 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 26.96 26.17
ACO-45 CAHPS: Corteous and Helpful Office Staff 94.77 92.84
ACO-46 CAHPS: Care Coordination  88.14 86.89
ACO-8 Risk Standardized, All Condition Readmission 12.57 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 53.33 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.84 1.87
ACO-13 Falls: Screening for Future Fall Risk 83.58 96.75
ACO-14 Preventive Care and Screening: Influenza Immunization 81.06 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 64.29 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 64.48 70.40
ACO-19 Colorectal Cancer Screening 76.39 70.76
ACO-20 Breast Cancer Screening 78.55 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 77.72 82.17
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.67 13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 74.23 75.04

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.
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