Alegent Health Partners ACO Public Reporting

ACO Name and Location

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

ACO Primary Contact

Scott Ptacnik
(402) 255-1620
scott.ptacnik@alegent.org

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture

Alegent Creighton Clinic (CHI Health Clinic)

Yes

Alegent Creighton Health (CHI Health)

Yes

Alegent Health Bergan Mercy Health System (CHI Health Creighton University Medical Center - Bergan Mercy)

Yes

Alegent Health Immanuel Medical Center (CHI Health Immanuel)

Yes

Benson Podiatry Associates PC

No

CHI Health Clinic Physician Enterprise–Anesthesia LLC

Yes

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

Yes

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 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 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

    2019 Quality Performance Results:

    ACO#

    Measure Name

    Rate

    ACO Mean

    ACO-1

    CAHPS: Getting Timely Care, Appointments, and Information

    86.42

    85.86

    ACO-2

    CAHPS: How Well Your Providers Communicate

    93.96

    94.11

    ACO-3

    CAHPS: Patients' Rating of Provider

    93.25

    92.69

    ACO-4

    CAHPS: Access to Specialists

    81.74

    81.54

    ACO-5

    CAHPS: Health Promotion and Education

    61.05

    60.44

    ACO-6

    CAHPS: Shared Decision Making

    65.05

    62.78

    ACO-7

    CAHPS: Health Status/Functional Status

    71.48

    73.79

    ACO-34

    CAHPS: Stewardship of Patient Resources

    29.19

    26.17

    ACO-45

    CAHPS: Courteous and Helpful Office Staff

    93.9

    92.84

    ACO-46

    CAHPS: Care Coordination

    87.31

    86.89

    ACO-8

    Risk Standardized, All Condition Readmission

    14.8

    14.86

    ACO-38

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    57.19

    58.15

    ACO-43

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

    1.54

    1.87

    ACO-13

    Falls: Screening for Future Fall Risk

    93.63

    84.04

    ACO-14

    Preventive Care and Screening: Influenza Immunization

    79.08

    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

    90.32

    70.4

    ACO-19

    Colorectal Cancer Screening

    70.33

    70.76

    ACO-20

    Breast Cancer Screening

    76.63

    73.84

    ACO-42

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    85.47

    82.17

    ACO-27

    Diabetes Mellitus: Hemoglobin A1c Poor Control

    8.73

    13.88

    ACO-28

    Hypertension (HTN): Controlling High Blood Pressure

    80.23

    75.04

     

    Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

    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.
  • 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.