Caravan Health ACO 41 LLC

Caravan Health ACO 41 LLC

dba Avera Prairie View ACO An Accountable Care Organization (ACO) committed to improving patient outcomes through elevated value-based care.

dba Avera Prairie View ACO An Accountable Care Organization (ACO) committed to improving patient outcomes through elevated value-based care.

ACO Name and Location
ACO Name and Location

Caravan Health ACO 41 LLC
dba Avera Prairie View ACO
20 Burton Hills Blvd, Nashville, TN 37215

ACO Primary Contact
ACO Primary Contact

Teri Bergeleen
Phone: (605) 322-4576
Email: Teri.Bergeleen@avera.org

Organizational Information

Organizational Information

ACO Participants

ACO Participant in Joint Venture

Avera Marshall

Y

Avera McKennan

Y

City of Brookings

N

Heart Hospital of South Dakota LLC

Y

Avera St. Marys

Y

Avera St. Lukes

Y

Avera Queen of Peace

Y

Lakes Regional Hospital

Y

Floyd Valley Hospital

Y

Spencer Municipal Hospital

Y

Rural Health Care Inc

Y

Anesthesiology Associates, Inc.

N

Midwest Ear, Nose & Throat Associates PC

N

Northwest Iowa Urologist OC

N

NWIA Bone, Joint & Sports Surgeons, PC

N

Northwest Iowa Ear Nose and Throat PC

N

Opthalmology LTD

N

Surgical Institute of South Dakota PC

N

Midwest Radiology and Imaging PC

N

Ophthalmology LTD Eye Surgery Center LLC

N

Northwest Iowa Surgeons PC

N

Northwest Iowa Anesthesia Associates

N

Physicians Laboratory, LTD.

N

Physicians Laboratory of Northwest Iowa LTD

N

USC Ambulatory Surgical Center Prof LLC

N

Urology Specialists Chartered

N

Yankton Medical Clinic PC

N

Sacred Heart Health Services

Y

Avera At Home

N

ACO Governing Body:

ACO Governing Body:

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Member First Name

Member Last Name

Member Title/Position

Member’s Voting Power

Membership Type

ACO Participant Legal Business Name

Debbie

Streier

Board Member

7.692%

ACO Participant Representative

Avera Marshall

Shantel

Krebs

Board Member

7.692%

ACO Participant Representative

Avera St. Marys

David

Flicek

Board Member

7.692%

ACO Participant Representative

Avera Mckennan

Brenda

Tiefenthaler

Board Member

7.692%

ACO Participant Representative

Spencer Municipal Hospital

David

Basel, MD

Board Member

7.692%

ACO Participant Representative

Avera McKennan

Doug

Ekeren

Board Member

7.692%

ACO Participant Representative

Sacred Heart Health Services

Dan

Bjerkness

Board Member

7.692%

ACO Participant Representative

Avera St. Luke

Michael

Gibbs

Board Member

7.692%

ACO Participant Representative

Heart Hospital of South Dakota LLC

Jim

Hardwick

Board Member

7.692%

ACO Participant Representative

Rural Health Care Inc.

Jeremy

Bolluyt

Board Member

7.692%

ACO Participant Representative

Lakes Regional Healthcare

Dustin

Wright

Board Member

7.692%

ACO Participant Representative

Floyd Valley

Susan

Fanta, MD

Board Member

7.692%

ACO Participant Representative

Yankton Medical Clinic

Patrick

Clark

Board Member

7.692%

ACO Medicare Beneficiary

Avera Queen of Peace

Hilary

Rockwell

Board Member

7.692%

ACO Participant Representative

Avera Queen of Peace

Teri

Bergeleen

Board Member

0%

N/A

N/A

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

ACO Executive: Aria Sameni

ACO Executive: Aria Sameni

Medical Director: Dr. David Basel

Medical Director: Dr. David Basel

Compliance Officer: Emma Oakley

Compliance Officer: Emma Oakley

Quality Assurance/Improvement Officer: Eric Boyce

Quality Assurance/Improvement Officer: Eric Boyce

Associated Committees and Committee Leadership:

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Executive Committee

David Flicek-Chairman

Steering Committee

David Basel, MD- Vice-Chairman

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

  • Hospital employing ACO professionals

  • Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses:

Shared Savings and Losses:

Shared Savings and Losses:

Shared Savings and Losses:

Amount of Shared Savings/Losses:

  • First Agreement Period

    • Performance Year 2019, $0

    • Performance Year 2020, $0

    • Performance Year 2021, $0

    • Performance Year 2022, $0

    • Performance Year 2023, $0

Shared Savings Distribution:

Shared Savings Distribution:

  • First Agreement Period

    • Performance Year 2019

      • 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 2020

      • 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 2021

    • 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 2022

      • 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 2023

      • 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

Quality Performance Results

2022 Quality Performance Results: *Quality performance results are based on CMS Web Interface

Measure #

Measure Name

Collection Type

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

CMS Web Interface

7.82

10.71

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

CMS Web Interface

77.44

76.97

236

Controlling High Blood Pressure

CMS Web Interface

71.10

76.16

318

Falls: Screening for Future Fall Risk

CMS Web Interface

98.81

87.83

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

74.90

77.34

226

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

CMS Web Interface

81.82

79.27

113

Colorectal Cancer Screening

CMS Web Interface

80.48

75.32

112

Breast Cancer Screening

CMS Web Interface

79.04

78.07

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

84.88

86.37

370

Depression Remission at Twelve Months

CMS Web Interface

15.69

16.03

321

CAHPS for MIPS3

CMS Web Interface

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

CMS Web Interface

0.1302

0.1510

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

CMS Web Interface

33.19

30.97

2023 Quality Performance Results: *Quality performance results are based on CMS Web Interface

Measure #

Measure Name

Collection Type

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

CMS Web Interface

11.76

9.84

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

CMS Web Interface

74.14

80.97

236

Controlling High Blood Pressure

CMS Web Interface

73.47

77.8

318

Falls: Screening for Future Fall Risk

CMS Web Interface

94.09

89.42

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

89.24

70.76

226

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

CMS Web Interface

65.52

79.29

113

Colorectal Cancer Screening

CMS Web Interface

82.84

77.14

112

Breast Cancer Screening

CMS Web Interface

79.64

80.36

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

84.07

87.05

370

Depression Remission at Twelve Months

CMS Web Interface

15

16.58

321

CAHPS for MIPS3

CMS Web Interface

6.59

6.25

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

CMS Web Interface

0.1399

0.1553

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

CMS Web Interface

---

35.39

Hospital Admission Rates for Patients with

Multiple Chronic Conditions [1]

Payment Rule Waivers

Payment Rule Waivers

Payment Rule Waivers

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

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