Alegent Health Partners LLC ACO - Public Reporting

ACO Name and Location

Alegent Health Partners, LLC
Previous Names: N/A
7261 Mercy Road
Omaha, NE 68124

ACO Primary Contact

Primary Contact Name

Scott Ptacnik

Primary Contact Phone Number

402-255-1620

Primary Contact Email Address

Scott.Ptacnik@alegent.org

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

Manahan Eye Associates PC

Y

Premier Family Medicine PC

Y

Alegent Health Immanuel Medical Center

Y

Alegent Health Bergan Mercy Health System

Y

Radiology Consultants PC

Y

Nebraska-Iowa Radiology Consultants Inc

Y

Alegent Creighton Health

Y

Alegent Creighton Clinic

Y

Benson Podiatry Associates PC

Y

Essential Family Medicine of Omaha, LLC

Y

CHI Health Clinic Physician Enterprise-Anesthesia LLC

Y

 

ACO governing body:

Member

Member's Voting Power – Expressed as a percentage or number

Membership Type -

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Sakowski

Hank

MD

Voting Member

ACO Participant

CHI Health Clinic

Benes

Shelley

MD

Voting Member

ACO Participant

CHI Health Clinic

McNamara

Mike

MD

Voting Member

ACO Participant

Midwest Surgical Specialists

Robertson

Cliff

MD

Voting Member

ACO Participant

CHI Health Clinic

Strohmyer

Jeff

MD

Voting Member

ACO Participant

Premier Family Medicine

Wojtalewicz

Jeanette

CFO

Voting Member

ACO Participant

CHI Health Clinic

Stanko

Rich

 

Voting Member

Medicare Beneficiary

 

Pritza

Randy

MD

Chair

ACO Participant

CHI Health Clinic

 

Key ACO clinical and administrative leadership:

Scott Ptacnik

ACO Executive

Henry Sakowski

Medical Director

Sheri Heinisch

Compliance Officer

Shelley Miller

Quality Assurance/Improvement Officer

 

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

  • Second Agreement Period
    • 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

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 9%
      • Proportion invested in redesigned care processes/resources: 9%
      • 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

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

84.00

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.51

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.92

92.31

ACO-4

CAHPS: Access to Specialists

83.01

83.32

ACO-5

CAHPS: Health Promotion and Education

58.60

62.30

ACO-6

CAHPS: Shared Decision Making

75.12

75.85

ACO-7

CAHPS: Health Status/Functional Status

75.27

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

28.96

25.68

ACO-8

Risk Standardized, All Condition Readmission

14.69

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

19.42

18.46

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

79.43

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

68.14

61.74

ACO-43

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

1.67

1.93

ACO-11

Use of Certified EHR Technology

99.76

98.48

ACO-12

Medication Reconciliation

92.74

75.32

ACO-13

Falls: Screening for Future Fall Risk

95.95

74.38

ACO-44

Imaging Studies for Low Back Pain

61.59

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

76.82

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

88.29

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

86.05

70.69

ACO-17

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

98.53

90.48

ACO-18

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

73.39

61.98

ACO-19

Colorectal Cancer Screening

69.72

64.58

ACO-20

Breast Cancer Screening

74.36

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86.29

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.17

16.74

ACO-41

Diabetes: Eye Exam

61.45

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

77.13

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

96.10

86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

 

Note: In the Quality Performance Results file(s) above, search for “Alegent Health Partners, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A1459 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.

AHP ACO_No02 Access DRS 110116.docx

AHP ACO_No6b_MBOCoveredEntity 031615.docx

AHP ACO_No5_ReqRestrictionsConfidComm 110116.docx

AHP ACO_No7_MinNecessaryStandard 110116.docx