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

Henry Sakowski, MD
(402) 717-7239
henry.sakowski@commonspirit.org

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
First Name

Member
Last Name

Member
Title/Position

Member's Voting Power

Membership Type

ACO Participant Legal Business Name/DBA

Randy

Pritza

Chair

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Nick

O'Tool

Treasurer

1

ACO participant representative

Alegent Creighton Health/CHI Health

Hamza

Ismail

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Mike

McNamara

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Ken

Shaffer

Voting Member

1

Medicare beneficiary representative

n/a

Henry

Sakowski

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Michael

Schooff

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Jeff

Strohmyer

Voting Member

1

ACO participant representative

Premier Family Medicine PC

Pranith

Surabhi

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Cary

Ward

Voting Member

1

ACO participant representative

Alegent Creighton Health/CHI Health

 

Key ACO Clinical and Administrative Leadership

ACO Executive: Nick O'Tool

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

 

Rate

 ACO Mean

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.
  • 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. 

Fraud and Abuse Waivers

  • n/a