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CMS Reporting

Caravan Health ACO 15 LLC

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ACO Name and Location

Caravan Health ACO 15 LLC
dba Prairie Vista Care Organization


4055 Valley View Ln, Suite 700

Dallas, TX 75244

 

ACO Primary Contact

Primary Contact Name Teri Bergeleen
Primary Contact Phone Number 605-322-4576
Primary Contact Email Address Teri.Bergeleen@avera.org 

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

SIOUX CENTER HEALTH

Y

CITY OF REDFIELD

Y

REGIONAL HEALTH SERVICES OF HOWARD COUNTY

Y

AVERA GRANITE FALLS

Y

AVERA GETTYSBURG

Y

ST BENEDICT HEALTH CENTER

Y

PLATTE COMMUNITY MEMORIAL HOSPITAL INC

Y

LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION

Y

MARSHALL COUNTY MEMORIAL HOSPITAL

Y

Hendricks Community Hospital Assn & Retirement Home

Y

AVERA ST ANTHONYS HOSPITAL

Y

AVERA HOLY FAMILY

Y

Freeman Regional Health Services

Y

Hegg Memorial Hospital

Y

Pipestone County Medical Center

Y

Avera Tyler

Y


ACO governing body:

Member

First Name

Member

Last Name

Member

Title/Position

Member’s Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Lavonne

Koenen

Board Member

5.882%

Medicare Beneficiary Representative

N/A

Gale

Melissa

Vice-Chairman

5.882%

ACO Participant Representative

Landmann Jungman Memorial Hospital Corporation

Zevenbergen

Glenn

Board Member

5.882%

ACO Participant Representative

Hegg Memorial Hospital

Burris

Brad

Board Member

5.882%

ACO Participant Representative

Pipestone County Medical Center

Unruh

Courtney

Board Member

5.882%

ACO Participant Representative

Freeman Regional Health Services

Kooiman

Tom

Board Member

5.882%

ACO Participant Representative

Avera Granite Falls

Gollaher

Jeff

Board Member

5.882%

ACO Participant Representative

Hendricks Community Hospital Assn & Retirement Home

Weber

Lindsay

Board Member

5.882%

ACO Participant Representative

St. Benedict Health Center

Bergeleen

Teri

Board Member

0

Other

N/A

Burket

Mark

Board Member

5.882%

ACO Participant Representative

Platte Community Memorial Hospital Inc

Herzberg

Deb

Chairman

5.882%

ACO Participant Representative 

Avera Holy Family

Nelson

Cory

Board Member

5.882%

ACO Participant Representative

Sioux Center Health

Sanger

Larissa

Board Member

5.882%

Other

N/A

Kozyra

John

Board Member

5.882%

ACO Participant Representative

Avera St Anthony’s Hospital

Basel

David

ACO Medical Director

5.882%

Other

N/A 

Fosness

Nick

Board Member

5.882%

ACO Participant Representative

Marshall County Memorial Hospital

Sjurseth

Karen

Board Member 

5.882%

ACO Participant Representative

City of Redfield

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

Key ACO clinical and administrative leadership:

David Flicek ACO Executive
David Basel, MD Medical Director
Emma Oakley Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer


Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Information Technology Committee Eric Boyce, Chairman
Care Coordination & Patient Engagement Committee Michael Webber, Chairman
Evidence-Based Medicine Committee David Basel, Chairman
Finance Committee Teri Bergeleen, Chairman
Quality & Performance Improvement Committee Michael Webber, Chairman

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

  • Critical Access Hospital (CAH) billing under Method II
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2019, $1,755,090.00
    • Performance Year 2020, $0
    • Performance Year 2021, $0
    • Performance Year 2022, $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

  • 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 2019
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • 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


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 7.36 10.71
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 90.73 76.97
236 Controlling High Blood Pressure CMS Web Interface 69.20 76.16
318 Falls: Screening for Future Fall Risk  CMS Web Interface 99.02 87.83
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 82.21 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 88.89 79.27
113 Colorectal Cancer Screening CMS Web Interface 84.72 75.32
112 Breast Cancer Screening CMS Web Interface 81.10 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 87.50 86.37
370 Depression Remission at Twelve Months CMS Web Interface 14.29 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 0.1276 0.1510
484 Clinician and Clinician Group Risk-standardized
Hospital Admission Rates for Patients with
Multiple Chronic Conditions [1]		 CMS Web Interface 36.18 30.97

 

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

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