Public Reporting - CHI Health, Nebraska (NE) - Southwest Iowa (IA)

Alegent Health Partners LLC ACO - Public Reporting

ACO Name and Location

Alegent Health Partners, LLC
7261 Mercy Road
Omaha, NE 68124

ACO Primary Contact

Ann E. Oasan
Executive Director
Ann.Oasan@alegent.org
402-255-1620

Organizational Information:

 ACO Participants

  • Alegent Creighton Clinic
  • Alegent Creighton Health
  • Alegent Health Bergan Mercy Health System
  • Alegent Health Immanuel Medical Center
  • Alegent Health Lakeside Hospital
  • Alegent Health Midlands Hospital
  • Alegent Health Mercy Hospital
  • Alegent Health Plainview
  • Benson Podiatry Associates PC
  • CASA Acquisition LLC
  • Lakeside Orthopedics PC
  • Manahan Eye Associates
  • Midwest Surgical Specialists
  • Northwest Anesthesia PC
  • Omaha Gastroenterology Consultants, PC
  • Premier Family Medicine PC
  • Pulmonary Medicine Specialists PC
  • Radiology Consultants PC

ACO Participants in Joint Ventures Between ACO Professionals and Hospitals:

No participants are involved in a joint venture between ACO professionals and hospitals. 

Alegent Health Partners, LLC Governing Body

  • Kevin Nohner, MD – Board Chair – ACO Participant – CHI Health Clinic
  • Jim Crew, MD – Voting member – ACO Participant – CHI Health Clinic
  • Lewis Eirinberg, MD – Voting member – ACO Participant – CHI Health Clinic
  • Devin Fox, MD – Voting member - ACO Participant – CHI Health Clinic
  • Stephen Lanspa, MD – Voting member - ACO Participant – CHI Health Clinic
  • Mike McNamara, MD – Voting member  – ACO Participant – Midwest Surgical Specialists
  • Rich Stanko – Voting member - Medicare beneficiary
  • Jeffry Strohmyer, MD – Voting member- ACO Participant – Premier Family Medicine

Key ACO Clinical and Administrative Leadership

  • Kevin Nohner, MD – Chair
  • Rich Stanko - Medicare Beneficiary
  • Ann Oasan - Executive Director
  • Henry Sakowski, MD - Medical Director
  • Kiran Mulgaokar - Finance Director
  • Melanie Surber, RN - Director, Clinical Initiatives
  • Mary Petersen - Director, Provider Relations
  • Leigh Bertholf, MS, RN, CCEP – Corporate Responsibility Officer

Alegent Health Partners, LLC Committees and Key Leadership Personnel

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

ACO professionals in a group practice arrangement, networks of individual practices of ACO professionals, a hospital employing ACO professionals, Critical Access Hospital (CAH) billing under Method II, a Federally Qualified Health Center (FQHC), a Rural Health Clinic (RHC).

Shared Savings and Losses:

Amount of Shared Savings/Losses

  • Performance Year 1: $0
  • Performance Year 2: $0
  • Performance Year 3: Not yet determined

How Shared Savings Are Distributed

  • Proportion invested in infrastructure (including proportion invested in redesigned care process/resources): 50%
  • Proportion of distribution to ACO Participants: 50% plus
    • Primary Care Professionals: 37.5%
    • Specialists: 12.5%
    • Hospital: 50%

Quality Performance Results

 

 

2012 Reporting Period

2013 Reporting Period

2014 Reporting Period

Measure number

Performance Measure

ACO Performance Rate

Mean Performance Rate for all ACOs

ACO Performance Rate

Mean Performance Rate for all ACOs

ACO Performance Rate

Mean Performance Rate for all ACOs

ACO #1

Getting timely care, appointments and information

Not in operations

Not in operations

83.51

81.48

81.22

80.13

ACO #2

How well your doctors communicate

Not in operations

Not in operations

93.72

92.96

93.89

92.39

ACO #3

Patients’ rating of doctor

Not in operations

Not in operations

92.93

92.06

93.57

91.58

ACO #4

Access to specialists

Not in operations

Not in operations

86.01

85.12

84.01

83.97

ACO #5

Health promotion and education

Not in operations

Not in operations

53.26

58.38

56.53

58.29

ACO #6

Shared decision making

Not in operations

Not in operations

76.19

74.53

74.07

74.60

ACO #7

Health status/functional status

Not in operations

Not in operations

71.74

71.12

74.19

71.10

ACO #8

Risk standardized, all-condition readmissions

Not in operations

Not in operations

14.84

14.90

15.10

15.15

ACO #9

ASC admissions: COPD or asthma in older adults

Not in operations

Not in operations

1.89

1.17

1.76

1.08

ACO #10

ASC admissions: Heart failure

Not in operations

Not in operations

1.19

1.20

1.17

1.19

ACO #11

Percent of primary care providers who qualified for EHR incentive payment

Not in operations

Not in operations

85.06

66.21

94.41

76.71

ACO #12

Medication reconciliation

Not in operations

Not in operations

98.51

73.56

97.61

82.61

ACO #13

Falls: Screening for fall risk

Not in operations

Not in operations

40.36

39.57

43.54

45.60

ACO #14

Influenza immunization

Not in operations

Not in operations

66.50

56.93

60.72

57.51

ACO #15

Pneumococcal vaccination

Not in operations

Not in operations

66.18

54.76

62.93

55.03

ACO #16

Adult weight screening and follow-up

Not in operations

Not in operations

37.90

61.61

54.55

66.75

ACO #17

Tobacco use assessment and cessation intervention

Not in operations

Not in operations

75.41

84.01

87.48

86.79

ACO #18

Depression screening

Not in operations

Not in operations

35.71

31.19

41.30

39.27

ACO #19

Colorectal cancer screening

Not in operations

Not in operations

50.00

59.30

48.26

56.14

ACO #20

Mammography screening

Not in operations

Not in operations

61.37

62.05

67.43

61.41

ACO #21

Proportion of adults who had blood pressure screen in past 2 years

Not in operations

Not in operations

71.51

74.25

53.72

60.24

ACO #22

Hemoglobin A1c (HbA1c) (

Not in operations

Not in operations

78.65

68.58

78.35

25.41

ACO #23

Low density lipoprotein (LDL) (

Not in operations

Not in operations

70.53

54.78

66.45

25.41

ACO #24

Blood pressure (BP)

Not in operations

Not in operations

74.25

69.53

74.05

25.41

ACO #25

Tobacco non use

Not in operations

Not in operations

79.58

63.33

77.69

25.41

ACO #26

Aspirin use

Not in operations

Not in operations

88.83

74.82

90.48

25.41

ACO #27

Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)

Not in operations

Not in operations

9.51

22.11

10.41

20.35

ACO #28

Percent of beneficiaries with hypertension whose BP

Not in operations

Not in operations

72.27

67.79

72.39

68.02

ACO #29

Percent of beneficiaries with IVD with complete lipid profile and LDL control

Not in operations

Not in operations

64.97

55.44

69.23

57.29

ACO #30

Percent of beneficiaries with IVD who use Aspirin or other antithrombotic

Not in operations

Not in operations

96.33

76.35

96.15

80.79

ACO #31

Beta-blocker therapy for LVSD

Not in operations

Not in operations

94.67

79.82

93.46

82.71

ACO #32

Drug therapy for lowering LDL cholesterol

Not in operations

Not in operations

70.26

71.60

78.50

66.90

ACO #33

ACE inhibitor or ARB therapy for patients with CAD and diabetes and/or LVSD

Not in operations

Not in operations

90.65

69.13

76.79

66.90

Note: ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease, PCP = primary care physician, EHR = electronic health record, IVD = ischemic vascular disease, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

For more information on how to interpret scores on the above quality performance measures, see https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf