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4600 Valley Road, Suite 250
Lincoln NE 68510
(402) 261-9530 / f: (402) 817-0337
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OneHealth ACO

ACO Name and Location:

OneHealth Nebraska ACO, LLC

4600 Valley Rd, Suite 250

Lincoln, Nebraska 68510

 

ACO Primary Contact:

Primary Contract Name

Bob Rauner, MD, MPH

Primary Contact Phone Number

402.261.9530

Primary Contact Email Address

brauner@onehealthne.com

 

Organizational Information:

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

(Enter Y or N)

Nebraska Internal Medicine, P.C.

Y

South Lincoln Family Physicians, P.C.

Y

Lincoln Internal Medicine Associates, PC

Y

 

ACO Participants in joint ventures between ACO professionals and hospitals:

1.      No participants are involved in a joint venture between ACO professionals and hospitals

 

ACO governing body:

1.      Jason Potts, MD, Voting Member and Chair, ACO participant, Lincoln Internal Medicine Associates, PC

2.      Donald Schmidt, MD, Voting Member, ACO participant, Nebraska Internal Medicine, PC

3.      Brandon Webb, MD, Voting Member, ACO participant, Primary Care Partners, PC

4.      Kathy Campbell, Voting Member, Medicare Beneficiary Representative

5.      Ed Schneider, Voting Member, Medicare Beneficiary Representative

  

Key ACO clinical and administrative leadership:

1.      ACO Executive:  Steve Kros

2.      Chief Medical Officer:  Dr. Bob Rauner

3.      Compliance Official: Peggy Barbee

4.      Quality Assurance/Improvement Officer:  Ms. Lisa Mascher

5.      Health Data Analyst:  Mr. Ron Childress

 

Associated committees and committee leadership:

1.      Quality Improvement Committee, Brandon Webb, MD, Chair

2.      Clinical Integration Committee, Jason Potts, MD, Chair

3.      Compliance Committee, Brandon Webb, MD, Chair

 

Types of ACO participants that formed the ACO:

1.      Network of individual practices of ACO professionals

 

Shared Savings/Losses

·        Agreement period beginning 2017, Performance Year 2017:  N/A

  

Shared Savings Distribution

·        Agreement period beginning 2017, Performance Year 2017

 

o   Proportion invested in infrastructure:  35%

 

o   Proportion of distribution to ACO participants:  65%

 

Quality Performance Results: 

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

N/A

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

N/A

92.63

ACO-3

CAHPS: Patients’ Rating of Provider

N/A

91.93

ACO-4

CAHPS: Access to Specialists

N/A

83.52

ACO-5

CAHPS: Health Promotion and Education

N/A

60

ACO-6

CAHPS: Shared Decision Making

N/A

75.28

ACO-7

CAHPS: Health Status/Functional Status

N/A

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

N/A

27.52

ACO-8

Risk-Standardized, All Condition Readmission

N/A

14.7

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

N/A

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

N/A

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

N/A

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

N/A

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

N/A

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)

N/A

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

N/A

82.72

ACO-39

Documentation of Current Medications in the Medical Record

N/A

87.54

ACO-13

Falls: Screening for Future Fall Risk

N/A

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

N/A

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

N/A

69.21

ACO-16

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

N/A

74.45

ACO-17

Preventive Care Screening: Tobacco Use: Screening and Cessation Intervention

N/A

90.98

ACO-18

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

N/A

53.63

ACO-19

Colorectal Cancer Screening

N/A

61.52

ACO-20

Breast Cancer Screening

N/A

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

N/A

76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

N/A

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

N/A

18.24

ACO-41

Diabetes: Eye Exam

N/A

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

N/A

70.52

ACO-30

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

N/A

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

N/A

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

N/A

79.67

 

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

 

Payment Rule Waivers:

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