TPN Health Partners LLC ACO - Public Reporting

ACO Name and Location

TPN Health Partners, LLC
Previous Names: CHI Health Partners, LLC
7261 Mercy Rd
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 (Enter Y or N)

Lincoln Physician Network LLC

Y

Kearney Physician Network LLC

Y

Nebraska Heart Hospital

Y

Nebraska Specialty Network LLC

Y

Saint Francis Medical Center

Y

Good Samaritan Hospital

Y

Saint Elizabeth Regional Medical Center

Y

The Physician Network

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

Rapp

Michael 

MD

Voting

ACO Participant 

The Physician Network

Robertson

Cliff 

MD

Voting Member

ACO Participant

Saint Elizabeth Regional Medical Center

Wojtalewicz

Jeanette

CFO

Voting Member

ACO Participant

St. Elizabeth Regional Medical Center

Church

Carla

DO

Voting Member

ACO Participant 

The Physician Network

Sakowski

Henry

MD

Voting Member

Stakeholder Representative

CHI Health Clinic

Easley

George

 

Voting Member

Medicare Beneficiary

 

Cronin

Patricia

MD

Voting Member

ACO Participant 

Good Samaritan Medical Group

Gutierrez

Josue

MD

Voting Member

ACO Participant 

The Physician Network

Vance

Derek

 

Board Chair

ACO Participant

St. Elizabeth Regional Medical Center

 

Key ACO clinical and administrative leadership:

Scott Ptacnik

ACO Executive

Jason Kruger

Medical Director

Sheri Heinisch

Compliance Officer

Shelley Miller

Quality Assurance/Improvement Office


 

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2017
      • 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 2016
      • 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

85.83

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.62

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

93.40

92.31

ACO-4

CAHPS: Access to Specialists

80.96

83.32

ACO-5

CAHPS: Health Promotion and Education

57.99

62.30

ACO-6

CAHPS: Shared Decision Making

77.92

75.85

ACO-7

CAHPS: Health Status/Functional Status

73.15

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

31.92

25.68

ACO-8

Risk Standardized, All Condition Readmission

14.56

15.01

ACO-35

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

18.26

18.46

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

68.34

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

55.21

61.74

ACO-43

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

1.71

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

96.59

75.32

ACO-13

Falls: Screening for Future Fall Risk

82.49

74.38

ACO-44

Imaging Studies for Low Back Pain

68.75

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

81.25

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

86.10

72.92

ACO-16

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

65.41

70.69

ACO-17

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

92.50

90.48

ACO-18

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

67.80

61.98

ACO-19

Colorectal Cancer Screening

69.88

64.58

ACO-20

Breast Cancer Screening

74.18

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

92.43

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

11.94

16.74

ACO-41

Diabetes: Eye Exam

58.71

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

82.26

71.47

ACO-30

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

94.20

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 “TPN Health Partners, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2915 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

TPN ACO_No02 Access DRS 110116.docx

TPN ACO_No6b_MBOCoveredEntity 031615.docx

TPN ACO_No5_ReqRestrictionsConfidComm 110116.docx

TPN ACO_No7_MinNecessaryStandard 110116.docx