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

CHI Health Clinic

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

Reagan

Kevin

 MD

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 professional

    Shared Savings and Losses

    Amount of Shared Savings/Losses

    • Second Agreement Period
      • 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

     

    Shared Savings Distribution

    • Second Agreement Period
      • 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

     

    Quality Performance Results

    2018 Quality Performance Results:

    ACO#

    Measure Name

    Rate

    ACO Mean

    ACO-1

    CAHPS: Getting Timely Care, Appointments, and Information

    88.15

    86.14

    ACO-2

    CAHPS: How Well Your Providers Communicate

    96.11

    93.93

    ACO-3

    CAHPS: Patients’ Rating of Provider

    94.55

    92.45

    ACO-4

    CAHPS: Access to Specialists

    84.02

    81.50

    ACO-5

    CAHPS: Health Promotion and Education

    62.17

    59.26

    ACO-6

    CAHPS: Shared Decision Making

    69.46

    61.94

    ACO-7

    CAHPS: Health Status/Functional Status

    74.38

    73.35

    ACO-34

    CAHPS: Stewardship of Patient Resources

    24.62

    26.26

    ACO-8

    Risk Standardized, All Condition Readmission

    14.02

    14.98

    ACO-35

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

    17.83

    18.59

    ACO-36

    All-Cause Unplanned Admissions for Patients with Diabetes

    37.45

    37.01

    ACO-37

    All-Cause Unplanned Admissions for Patients with Heart Failure

    77.15

    76.75

    ACO-38

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    62.89

    59.00

    ACO-43

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

    1.40

    1.98

    ACO-11

    Use of Certified EHR Technology

    99.00

    98.20

    ACO-12

    Medication Reconciliation Post-Discharge

    91.25

    85.91

    ACO-13

    Falls: Screening for Future Fall Risk

    95.56

    79.73

    ACO-44

    Use of Imaging Studies for Low Back Pain

    79.45

    64.36

    ACO-14

    Preventive Care and Screening: Influenza Immunization

    81.82

    72.71

    ACO-15

    Pneumonia Vaccination Status for Older Adults

    88.00

    75.97

    ACO-16

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

    78.30

    76.83

    ACO-17

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

    44.00

    72.81

    ACO-18

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

    80.97

    66.74

    ACO-19

    Colorectal Cancer Screening

    77.82

    68.27

    ACO-20

    Breast Cancer Screening

    73.79

    71.96

    ACO-42

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    83.69

    81.47

    ACO-27

    Diabetes Mellitus: Hemoglobin A1c Poor Control

    9.68

    15.51

    ACO-41

    Diabetes: Eye Exam

    60.89

    52.42

    ACO-28

    Hypertension (HTN): Controlling High Blood Pressure

    75.81

    73.10

    ACO-30

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

    83.47

    88.92

     

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

     

    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

    • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
      • Yes our ACO uses/does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

     

    • Waiver for Payment for Telehealth Services:
      • Yes, our ACO clinicians do/do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.

 

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