Alegent Health Partners DBA CHI Health Partners ACO Public Reporting

ACO Name and Location

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

ACO Primary Contact

Scott Ptacnik
(402) 255-1620
scott.ptacnik@chihealth.com

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

Omaha Gastroenterology Consultants, P.C.

No

Premier Family Medicine PC

No

The Physician Network

No

ACO Governing Body

Member
Last Name

Member
First Name

Member
Title/Position

Member's Voting Power

Membership Type

ACO Participant Legal Business Name/DBA

Sakowski

Henry

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

McNamara

Mike

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Strohmyer

Jeff

Voting Member

1

ACO participant representative

Premier Family Medicine PC

Wojtalewicz

Jeanette

Treasurer

1

ACO participant representative

Alegent Creighton Health/CHI Health

Reagan

Kevin

Voting Member

1

Medicare beneficiary representative

 

Pritza

Randy

Chair

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Schooff

Michael

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Ward

Cary

Voting Member

1

ACO participant representative

Alegent Creighton Health/CHI Health

 

Key ACO Clinical and Administrative Leadership

ACO Executive: Scott Ptacnik

Medical Director: Henry Sakowski, MD

Compliance Officer: Christi Knox

Quality Assurance/Improvement Officer: Lindsey Haner

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
None applicable None applicable

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 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 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

    2020 Quality Performance Results:

    ACO Quality Measure Number

    Measure Name

    Rate

    ACO Mean

    ACO-38

    Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions

    48.64

    49.50

    ACO-43

    Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

    0.69

    0.95

    ACO-13

    Falls: Screening for Future Fall Risk

    90.15

    84.97

    ACO-14

    Preventive Care and Screening: Influenza Immunization

    76.45

    76.03

    ACO-17

    Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

    84.62

    81.67

    ACO-18

    Preventive Care and Screening: Screening for Depression and Follow-up Plan

    80.00

    71.46

    ACO-19

    Colorectal Cancer Screening

    77.82

    72.59

    ACO-20

    Breast Cancer Screening

    72.98

    74.05

    ACO-42

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    80.83

    83.37

    ACO-27

    Diabetes Mellitus: Hemoglobin A1c Poor Control

    9.19

    14.70

    ACO-28

    Hypertension (HTN): Controlling High Blood Pressure

    81.05

    72.87

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

    Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

    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.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.