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 |
| Arlan | Johnson | CEO | 1 | ACO Participant Representative | Howard County Medical Center |
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 2019, $0
- Performance Year 2018, $0
- Performance Year 2019, $0
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 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 2019
Quality Performance Results
2019 Quality Performance Results:
| ACO# | Measure Name | Rate | ACO Mean |
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 86.44 | 85.86 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 93.36 | 94.11 |
| ACO-3 | CAHPS: Patients’ Rating of Provider | 92.22 | 92.69 |
| ACO-4 | CAHPS: Access to Specialists | 84.46 | 81.54 |
| ACO-5 | CAHPS: Health Promotion and Education | 51.42 | 60.44 |
| ACO-6 | CAHPS: Shared Decision Making | 59.24 | 62.78 |
| ACO-7 | CAHPS: Health Status/Functional Status | 72.42 | 73.79 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 28.47 | 26.17 |
| ACO-45 | Courteous and Helpful Office Staff | 91.84 | 92.84 |
| ACO-46 | Care Coordination | 86.73 | 86.89 |
| ACO-8 | Risk Standardization, All Condition Readmission | 13.98 | 14.86 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 54.08 | 58.15 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 2.26 | 1.87 |
| ACO-13 | Falls: Screening for Future Fall Risk | 70.45 | 84.04 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 85.04 | 74.77 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 80.95 | 78.04 |
| ACO-18 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 70.40 | 70.40 |
| ACO-19 | Colorectal Cancer Screening | 72.22 | 70.76 |
| ACO-20 | Breast Cancer Screening | 74.82 | 73.84 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 89.30 | 82.17 |
| ACO-40 | Depression Remission at Twelve Months | 37.04 | 13.58 |
| ACO-27 | Diabetes: Hemoglobin A1c Poor Control (>9%) | 11.58 | 13.88 |
| ACO-28 | Controlling High Blood Pressure | 82.12 | 75.04 |
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.