CHI Health Partners ACO Public Reporting

ACO Name and Location

Alegent Health Partners, LLC
7261 Mercy Road
Omaha, NE 68124

ACO Primary Contact

Henry Sakowski, MD
(402) 717-7239
[email protected]

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture

Alegent Creighton Clinic (CHI Health Clinic)

No

Alegent Creighton Health (CHI Health)

No

Alegent Health Bergan Mercy Health System (CHI Health Creighton University Medical Center - Bergan Mercy)

No

Alegent Health Immanuel Medical Center (CHI Health Immanuel)

No

Benson Podiatry Associates PC

No

CHI Health Clinic Physician Enterprise–Anesthesia LLC

No

Essential Family Medicine of Omaha, LLC

No

Holy Family Medical Associates, LLC

No

Manahan Eye Associates PC

No

Premier Family Medicine PC

No

The Physician Network

No

ACO Governing Body

Member
First Name

Member
Last Name

Member
Title/Position

Member's Voting Power

Membership Type

ACO Participant Legal Business Name/DBA

Randy

Pritza

Chair

9.09%

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Nick

O'Tool

Treasurer

9.09%

ACO participant representative

Alegent Creighton Health/CHI Health
Tim Bricker Voting Member 9.09% ACO participant representative Alegent Creighton Health/CHI Health

Hamza

Ismail

Voting Member

9.09%

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Mike

McNamara

Voting Member

9.09%

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic
Derek Novak Voting Member 9.09%

ACO participant representative

 Alegent Creighton Clinic/CHI Health

Ken

Shaffer

Voting Member

9.09%

Medicare beneficiary representative

n/a

Henry

Sakowski

Voting Member

 9.09%

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Michael

Schooff

Voting Member

9.09%

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Pranith

Surabhi

Voting Member

9.09%

ACO participant representative

Alegent Creighton Clinic/CHI Health Clinic

Cary

Ward

Voting Member

9.09%

ACO participant representative

Alegent Creighton Health/CHI Health

Due to rounding, "Members Voting Power" may not equal 100 percent.
 

Key ACO Clinical and Administrative Leadership

ACO Executive: Shawn Roark

Medical Director: Henry Sakowski, MD

Compliance Officer: David Walsh

Quality Assurance/Improvement Officer: Lindsey Haner

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
CIN Council Mel Roca, MD, Committee Chair

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Fourth Agreement Period
    • Performance Year 2023  $10,663,904.13
  • Third Agreement Period
    • Performance Year 2022, $7,743,950.62
    • Performance Year 2021, $11,818,201
    • Performance Year 2020, $9,798,624   
    • Performance Year 2019, $7,218,244
  • Second Agreement Period
    • Performance Year 2019, $7,218,244
    • 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

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution

  • Fourth Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 9.4%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90.6%
  • Third Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 12.8%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 87.2%
    • Performance Year 2021
      • Proportion invested in infrastructure: 8.4 %
      • Proportion invested in redesigned care processes/resources: 0 %
      • Proportion of distribution to ACO participants:  91.6%
    • Performance Year 2020
      • Proportion invested in infrastructure:  5%
      • Proportion invested in redesigned care processes/resources:  0%
      • Proportion of distribution to ACO participants:  95%
    • Performance Year 2019
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 85%
  • Second Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 85%
    • 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

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface Measure Set.

ACO Quality Measure Number

Measure Name

Collection Type

Reported Performance Rate

 Current Year Mean Performance Rate

Quality ID#: 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)  [1]

CMS Web Interface

2.82

9.84

Quality ID#: 134

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

CMS Web Interface

88.09

80.97

Quality ID#: 236

Controlling High Blood Pressure

CMS Web Interface

86.96

77.80

Quality ID#: 318

Falls: Screening for Future Fall Risk

CMS Web Interface

97.16

89.42

Quality ID#: 110

Preventive Care and Screening: Influenza Immunization

CMS Web Interface

80.43

70.76

Quality ID#: 226

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

CMS Web Interface

84.21

79.29

Quality ID#: 113

Colorectal Cancer Screening

CMS Web Interface

82.24

77.14

Quality ID#: 112

Breast Cancer Screening

CMS Web Interface

82.89

80.36

Quality ID#: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

90.39

87.05

Quality ID#: 370

Depression Remission at Twelve Months

CMS Web Interface

7.06

16.58

Quality ID#: 321

CAHPS for MIPS [2]

CMS Web Interface

8.16

6.25

Measure#: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]

Administrative Claims

0.1546

0.1553

Measure#: 484

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

Administrative Claims

 -

35.39

CAHPS-1

Getting Timely Care, Appointments, and  Information

CAHPS for MIPS Survey

87.63

83.68

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

95.08

93.69

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

92.35

92.14

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

77.65

75.97

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

64.63

63.93

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

62.23

61.60

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

77.46

74.12

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

88.70

85.77

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

94.25

92.31

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

27.27

26.69

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

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.