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

Holy Family Medical Associates

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

Ellis

Michelle

MD

Voting Member

ACO Participant 

The Physician Network

Ismail

Hamza

MD

Voting Member

ACO Participant

The Physician Network

Meinke-Baehr

Kara

MD

Voting Member

ACO Participant

They Physician Network

Grenetzke

Julie

 

Voting Member

ACO Participant

CHI Health Clinic

 

Associated Committees and Leadership:

Not applicable

 

Key ACO clinical and administrative leadership:

Scott Ptacnik

ACO Executive

Jason Kruger

Medical Director

Christi Knox

Compliance Officer

Lindsey Haner

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 2018, $0
    • Performance Year 2017, $0
    • Performance Year 2016, $0

 

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018
      • 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 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

2018 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

90.29

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

95.60

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

94.44

92.45

ACO-4

CAHPS: Access to Specialists

85.58

81.50

ACO-5

CAHPS: Health Promotion and Education

56.75

59.26

ACO-6

CAHPS: Shared Decision Making

63.92

61.94

ACO-7

CAHPS: Health Status/Functional Status

74.45

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

28.34

26.26

ACO-8

Risk Standardized, All Condition Readmission

14.87

14.98

ACO-35

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

19.30

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

34.75

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

70.15

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

51.23

59.00

ACO-43

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

1.59

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

82.48

85.91

ACO-13

Falls: Screening for Future Fall Risk

87.50

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

55.56

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

67.09

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

79.84

75.97

ACO-16

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

61.94

76.83

ACO-17

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

88.24

72.81

ACO-18

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

64.78

66.74

ACO-19

Colorectal Cancer Screening

72.18

68.27

ACO-20

Breast Cancer Screening

70.97

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.13

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

15.32

15.51

ACO-41

Diabetes: Eye Exam

58.06

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

75.40

73.10

ACO-30

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

91.94

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 “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

    • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
      • No, our ACO uses/does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

     

    • Waiver for Payment for Telehealth Services:
      • No, 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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