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 COUNTY 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 |
| Open | 1 | ACO Participant Representative | Franciscan Care Services Inc | ||
| 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 County 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
- First Agreement Period
- Performance Year 2017, $0
Shared Savings Distribution
- First Agreement Period
- 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
-
Quality Performance Results
2017 Quality Performance Results:
| ACO# | Measure Name | Rate | ACO Mean |
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 79.03 | 80.60 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 90.72 | 93.13 |
| ACO-3 | CAHPS: Patients’ Rating of Provider | 91.09 | 92.31 |
| ACO-4 | CAHPS: Access to Specialists | 86.32 | 83.32 |
| ACO-5 | CAHPS: Health Promotion and Education | 48.25 | 62.30 |
| ACO-6 | CAHPS: Shared Decision Making | 76.63 | 75.85 |
| ACO-7 | CAHPS: Health Status/Functional Status | 72.00 | 73.05 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 29.04 | 25.68 |
| ACO-8 | Risk Standardized, All Condition Readmission | 14.61 | 15.01 |
| ACO-35 | Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) | 17.62 | 18.46 |
| ACO-36 | All-Cause Unplanned Admissions for Patients with Diabetes | 51.47 | 53.95 |
| ACO-37 | All-Cause Unplanned Admissions for Patients with Heart Failure | 85.34 | 79.16 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 65.67 | 61.74 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 3.61 | 1.93 |
| ACO-11 | Use of Certified EHR Technology | 100.00 | 98.48 |
| ACO-12 | Medication Reconciliation | 100.00 | 75.32 |
| ACO-13 | Falls: Screening for Future Fall Risk | 27.02 | 74.38 |
| ACO-44 | Imaging Studies for Low Back Pain | 70.37 | 67.32 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 71.06 | 72.52 |
| ACO-15 | Pneumonia Vaccination Status for Older Adults | 61.69 | 72.92 |
| ACO-16 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up | 50.00 | 70.69 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 80.24 | 90.48 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 32.79 | 61.98 |
| ACO-19 | Colorectal Cancer Screening | 54.84 | 64.58 |
| ACO-20 | Breast Cancer Screening | 64.92 | 70.05 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 85.38 | 79.89 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 18.95 | 16.74 |
| ACO-41 | Diabetes: Eye Exam | 56.85 | 50.37 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 60.48 | 71.47 |
| ACO-30 | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic | 82.66 | 86.86 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.
- For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
Note: In the Quality Performance Results file(s) above, search for “NPG Health Collaborative LLC” or “NPG Health Collaborative LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A81399 in the public use files on data.cms.gov.
Payment Rule Waivers
- No, our ACO does not use the SNF 3-Day Rule Waiver.