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
Last Name

Member
First Name

Member
Title/Position

Member's Voting Power

Membership Type

ACO Participant Legal Business Name/DBA

Pritza

Randy

Chair

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Wojtalewicz

Jeanette

Treasurer

1

ACO participant representative

Alegent Creighton Health/CHI Health

Ismail Hamza 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

Reagan

Kevin

Voting Member

1

Medicare beneficiary representative

n/a

Sakowski

Henry

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Schooff

Michael

Voting Member

1

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Strohmyer

Jeff

Voting Member

1

ACO participant representative

Premier Family Medicine PC

Surabhi Pranith 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: Jeanette Wojtalewicz

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 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 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

Quality performance results are based on CMS Web interface.

2021 Quality Performance Results:

ACO Quality Measure Number

Measure Name

Rate

ACO Mean

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (lower score is better)

31.12

33.99

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 (lower score is better)

0.1360

0.1540

318

Falls: Screening for Future Fall Risk

96.07

87.03

110

Preventive Care and Screening: Influenza Immunization

83.67

80.52

226

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

76.19

80.97

134

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

87.30

74.38

113

Colorectal Cancer Screening

78.31

73.63

112

Breast Cancer Screening

75.81

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87.55

84.24

001

Diabetes Mellitus: Hemoglobin A1c Poor Control (lower score is better)

9.84

12.46

236

Hypertension (HTN): Controlling High Blood Pressure

83.87

74.87

CAHPS-1

Getting Timely Care, Appointments, and  Information

85.93

84.67

CAHPS-2

How Well Providers Communicate

94.97

93.56

CAHPS-3

Patient’s Rating of Provider

92.44

92.19

CAHPS-4

Access to Specialists

82.47

78.8

CAHPS-5

Health Promotion and Education

60.89

61.61

CAHPS-6

Shared Decision Making

61.89

60.89

CAHPS-7

Health Status and Functional Status

73.43

71.78

CAHPS-8

Care Coordination

90.14

85.66

CAHPS-9

Courteous and Helpful Office Staff

94.31

91.88

CAHPS-11

Stewardship of Patient Resources

24.6

24.71

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

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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