CHI Health Partners ACO Public Reporting

ACO Name and Location

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

ACO Primary Contact

Henry Sakowski, MD
(402) 717-7239
[email protected]

Organizational Information

ACO Participants

ACO Participants	ACO Participant in Joint Venture
Alegent Creighton Clinic (CHI Health Clinic)	No
Alegent Creighton Health (CHI Health)	No
Alegent Health Bergan Mercy Health System (CHI Health Creighton University Medical Center - Bergan Mercy)	No
Alegent Health Immanuel Medical Center (CHI Health Immanuel)	No
Benson Podiatry Associates PC	No
CHI Health Clinic Physician Enterprise–Anesthesia LLC	No
Essential Family Medicine of Omaha, LLC	No
Holy Family Medical Associates, LLC	No
Manahan Eye Associates PC	No
Premier Family Medicine PC	No
The Physician Network	No

ACO Governing Body

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power	Membership Type	ACO Participant Legal Business Name/DBA
Randy	Pritza	Chair	10%	ACO participant representative	Alegent Creighton Clinic/CHI Health Clinic
Nick	O'Tool	Treasurer	10%	ACO participant representative	Alegent Creighton Health/CHI Health
Tim	Bricker	Voting Member	10%	ACO participant representative	Alegent Creighton Health/CHI Health
Hamza	Ismail	Voting Member	10%	ACO participant representative	Alegent Creighton Clinic/CHI Health Clinic
Mike	McNamara	Voting Member	10%	ACO participant representative	Alegent Creighton Clinic/CHI Health Clinic
Ken	Shaffer	Voting Member	10%	Medicare beneficiary representative	n/a
Henry	Sakowski	Voting Member	10%	ACO participant representative	Alegent Creighton Clinic/CHI Health Clinic
Michael	Schooff	Voting Member	10%	ACO participant representative	Alegent Creighton Clinic/CHI Health Clinic
Pranith	Surabhi	Voting Member	10%	ACO participant representative	Alegent Creighton Clinic/CHI Health Clinic
Cary	Ward	Voting Member	10%	ACO participant representative	Alegent Creighton Health/CHI Health

 

Key ACO Clinical and Administrative Leadership

ACO Executive: Shawn Roark

Medical Director: Henry Sakowski, MD

Compliance Officer: David Walsh

Quality Assurance/Improvement Officer: Lindsey Haner

Associated Committees and Committee Leadership

Committee Name	Committee Leader Name and Position
CIN Council	Mel Roca, MD, Committee Chair

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

• Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

• Third Agreement Period
  • Performance Year 2022, $7,743,950.62
  • Performance Year 2021, $11,818,201
  • Performance Year 2020, $9,798,624   
  • Performance Year 2019, $7,218,244
    
• Second Agreement Period
  • Performance Year 2019, $7,218,244
  • Performance Year 2018, $6,220,842
  • Performance Year 2017, $4,371,556
  • Performance Year 2016, $0
• First Agreement Period
  • Performance Year 2015, $0
  • Performance Year 2014, $0
  • Performance Year 2013, $0

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution

• Third Agreement Period
  • Performance Year 2022
    • Proportion invested in infrastructure: 12.8%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 87.2%
  • Performance Year 2021
    • Proportion invested in infrastructure: 8.4 %
    • Proportion invested in redesigned care processes/resources: 0 %
    • Proportion of distribution to ACO participants:  91.6%
  • Performance Year 2020
    • Proportion invested in infrastructure:  5%
    • Proportion invested in redesigned care processes/resources:  0%
    • Proportion of distribution to ACO participants:  95%
  • Performance Year 2019
    • Proportion invested in infrastructure: 15%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 85%
• Second Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 15%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 85%
  • Performance Year 2018
    • Proportion invested in infrastructure: 7%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 93%
  • Performance Year 2017
    • Proportion invested in infrastructure: 9%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 91%
  • Performance Year 2016
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
• First Agreement Period
  • Performance Year 2015
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2014
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2013
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface Measure Set.

ACO Quality Measure Number	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate
Measure#: 001	Diabetes: Hemoglobin A1c Poor Control (lower score is better)	CMS Web Interface	8.06	10.71
Measure#: 134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	86.47	76.97
Measure#: 236	Controlling High Blood Pressure	CMS Web Interface	83.67	76.16
Measure#: 318	Falls: Screening for Future Fall Risk	CMS Web Interface	95.52	87.83
Measure#: 110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	86.40	77.34
Measure#: 226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	84.75	79.27
Measure#: 113	Colorectal Cancer Screening	CMS Web Interface	80.00	75.32
Measure#: 112	Breast Cancer Screening	CMS Web Interface	79.71	78.07
Measure#: 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	89.47	86.37
Measure#: 370	Depression Remission at Twelve Months	CMS Web Interface	16.67	16.03
Measure#: 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 (lower score is better)	Administrative Claims	0.1358	0.1510
Measure#: 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (lower score is better)	Administrative Claims	29.04	30.97
CAHPS-1	Getting Timely Care, Appointments, and  Information	CAHPS for MIPS Survey	84.47	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.96	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	92.84	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	77.24	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	58.18	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	64.06	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	73.62	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	87.34	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.90	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	25.31	25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
  Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.