ACO Name and Location:
NPG Health Collaborative LLC
Previous Names: N/A
575 Fallbrook
Suite 204
LINCOLN, NE 68521
ACO Primary Contact
| Primary Contact Name | Rodney Triplett |
| Primary Contact Phone Number | (402) 476-7333 |
| Primary Contact Email Address | rodney.triplett@phvne.com |
Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
| PAWNEE COUNTY MEMORIAL HOSPITAL | N |
| ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME | N |
| ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA | N |
| ALEGENT HEALTH MERCY HOSPITAL CORNING IOWA | N |
| MEMORIAL HEALTH CARE SYSTEMS | N |
| BRODSTONE MEMORIAL HOSPITAL | N |
| ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER | N |
| ST MARYS COMMUNITY HOSPITAL | N |
| JEFFERSON COMMUNITY HEALTH CENTER INC | N |
| FRANCISCAN CARE SERVICES INC | N |
| THAYER COUNTY MEDICAL CENTER | N |
| HOWARD COUNTY HEALTH CENTER | N |
| KEARNEY CO HEALTH SERVICES | N |
| COMMUNITY MEMORIAL HEALTHCARE INC | N |
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 | |||
| Daniel | DeFreece | MD | 1 | ACO Participant Representative | St. Mary’s Community Hospital |
| Brian | Hass | MD | 1 | ACO Participant Representative | Franciscan Care Services Inc |
| Roger | Reamer | CEO | 1 | ACO Participant Representative | Memorial Health Care Systems |
| Greg | Jerger | CFO | 1 | ACO Participant Representative | Memorial Health Care Systems |
| Jared | Ketner | MD | 1 | ACO Participant Representative | Memorial Health Care Systems |
| Timothy | Blecha | MD | 1 | ACO Participant Representative | Brodstone Memorial Hospital |
| Jason | Hass | PA-C | 1 | ACO Participant Representative | Brodstone Memorial Hospital |
| Rodney | Triplett | 1 | Community Stakeholder Representative | ||
| Alisa | Brunsing | CFO | 1 | ACO Participant Representative | Franciscan Care Services Inc |
| Ruth | Stephens | CEO | 1 | ACO Participant Representative | Pawnee County Memorial Hospital |
| Betty | Bohaty | 1 | Medicare Beneficiary Representative | ||
| Douglas | Althouse | MD | 1 | ACO Participant Representative | Kearney Co Health Services |
| David | Burd | CEO | 1 | ACO Participant Representative | Thayer County Memorial Hospital |
Key ACO clinical and administrative leadership:
| Rodney Triplett | ACO Executive |
| Brian Hass | Medical Director |
| Anne Hansen | Compliance Officer |
| Anne Hansen | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
| Committee Name | Committee Leader Name and Position |
| Finance Committee | Greg Jerger, Chairperson |
| Quality & Informatics Committee | Daniel DeFreece, M.D., Chairperson |
| Utilization Review Committee | Jason Hass PA-C, Chairperson |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Critical Access Hospital (CAH) billing under Method II
- Rural Health Clinic (RHC)
Shared Savings and Losses
Amount of Shared Savings/Losses
- Performance Year 2018, $0
- Performance Year 2017, $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 2018
Quality Performance Results
2018 Quality Performance Results:
| ACO# | Measure Name | Rate | ACO Mean |
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 87.99 | 86.14 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 93.97 | 93.93 |
| ACO-3 | CAHPS: Patients’ Rating of Provider | 93.61 | 92.45 |
| ACO-4 | CAHPS: Access to Specialists | 85.21 | 81.50 |
| ACO-5 | CAHPS: Health Promotion and Education | 47.06 | 59.26 |
| ACO-6 | CAHPS: Shared Decision Making | 59.93 | 61.94 |
| ACO-7 | CAHPS: Health Status/Functional Status | 75.53 | 73.35 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 28.28 | 26.26 |
| ACO-8 | Risk Standardized, All Condition Readmission | 14.45 | 14.98 |
| ACO-35 | Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) | 17.48 | 18.59 |
| ACO-36 | All-Cause Unplanned Admissions for Patients with Diabetes | 40.56 | 37.01 |
| ACO-37 | All-Cause Unplanned Admissions for Patients with Heart Failure | 76.98 | 76.75 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 58.90 | 59.00 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 2.70 | 1.98 |
| ACO-11 | Use of Certified EHR Technology | 100.00 | 98.20 |
| ACO-12 | Medication Reconciliation | N/A | 85.91 |
| ACO-13 | Falls: Screening for Future Fall Risk | 58.25 | 79.73 |
| ACO-44 | Imaging Studies for Low Back Pain | 75.00 | 64.36 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 84.64 | 72.71 |
| ACO-15 | Pneumonia Vaccination Status for Older Adults | 87.63 | 75.97 |
| ACO-16 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up | 61.67 | 76.83 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 68.42 | 72.81 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 54.77 | 66.74 |
| ACO-19 | Colorectal Cancer Screening | 72.77 | 68.27 |
| ACO-20 | Breast Cancer Screening | 73.57 | 71.96 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 89.27 | 81.47 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 7.60 | 15.51 |
| ACO-41 | Diabetes: Eye Exam | 67.20 | 52.42 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 81.05 | 73.10 |
| ACO-30 | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic | 94.17 | 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.
- For Previous Years’ Financial and Quality Performance Results, please visit: https://data.cms.gov/.
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- No, our ACO 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 not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.