TPN Health Partners LLC ACO - Public Reporting

ACO Name and Location

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

ACO Primary Contact

Ann E. Oasan
Executive Director
Ann.Oasan@alegent.org
402-255-1620

Organizational Information:

 ACO Participants

  • CHI Health St. Elizabeth
  • CHI Health Nebraska Heart
  • CHI Health St. Francis
  • CHI Health St. Mary's
  • CHI Health Good Samaritan
  • The Physician Network (TPN) providers

ACO Participants in Joint Ventures Between ACO Professionals and Hospitals:

No participants are involved in a joint venture between ACO professionals and hospitals. 

TPN Health Partners, LLC Governing Body

  • Michael Rapp, MD - The Physician Network – Board Chair, ACO Participant  
  • Cliff Robertson, MD - CEO, Saint Elizabeth Regional Medical Center – Voting Member, ACO Participant 
  • Jeanette Wojtalewicz - CFO, Saint Elizabeth Regional Medical Center  – Voting Member, ACO Participant 
  • Carla Church, DO - The Physician Network – Voting Member, ACO Participant
  • Henry Sakowski, MD - CHI Health Clinic – Voting Member, Stakeholder Representative
  • George Easley - Voting Member, Medicare Beneficiary
  • Robert Rhodes, MD - The Physician Network – Voting Member, ACO Participant
  • Patricia Cronin, MD - Good Samaritan Medical Group - Voting Member, ACO Participant
  • Josue Gutierrez, MD - The Physician Network - Voting Member, ACO Participant

 

Key ACO Clinical and Administrative Leadership

  • Ann Oasan, Executive Director
  • Michael Rapp, MD, Medical Director
  • Shelley Miller, RN, Director of Clinical Initiatives
  • Dinah Wetindi, Lincoln Provider Relations
  • Leigh Bertholf, MS, RN, CCEP – Corporate Responsibility Officer

ACO Committees and ACO Committee Leadership

Finance Committee

  • Jeanette Wojtalewicz,Chair
  • Ann Oasan
  • Henry Sakowski, MD
  • Scott Frankforter, MD
  • Ken Shaffer, MD
  • Michael McNamara, MD
  • Trent Booher
  • Mike Rapp, MD
  • Cliff Robertson, MD

Quality & Clinical Informatics Committee

  • Jeff Ailes, MD
  • Adam Brank, MD
  • Jeff David, MD
  • Joel Greisen, MD
  • Eric Johnson, MD
  • Kevin Reichmuth, MD
  • Rahul Razdan, MD
  • Michael Rapp, MD
  • Robert Rhodes, MD
  • Jonathan Stelling, MD
  • Barry Hoover, MD

Utilization Review Committee

  • Jeff Ailes, MD
  • Adam Brank, MD
  • Jeff David, MD
  • Joel Greisen, MD
  • Eric Johnson, MD
  • Kevin Reichmuth, MD
  • Rahul Razdan, MD
  • Michael Rapp, MD
  • Robert Rhodes, MD
  • Jonathan Stelling, MD
  • Barry Hoover, MD

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

ACO professionals in a group practice arrangement, networks of individual practices of ACO professionals, a hospital employing ACO professionals, Critical Access Hospital (CAH) billing under Method II, a Rural Health Clinic (RHC).

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
  • Performance Year 2016, $0

Shared Savings Distribution

  • First Agreement Period
  • 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

Quality Performance Results

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

86.81

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

94.38

92.63

ACO-3

CAHPS: Patients' Rating of Provider

94.1

91.93

ACO-4

CAHPS: Access to Specialists

82.59

83.52

ACO-5

CAHPS: Health Promotion and Education

56.97

60

ACO-6

CAHPS: Shared Decision Making

77.37

75.28

ACO-7

CAHPS: Health Status/Functional Status

74.22

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

31.3

27.52

ACO-8

Risk-Standardized, All Condition Readmission

13.87

14.7

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

16.95

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

47.66

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

58.15

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

52.5

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

5.12

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

10.53

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

89.47

82.72

ACO-39

Documentation of Current Medications in the Medical Record

84.7

87.54

ACO-13

Falls: Screening for Future Fall Risk

46.34

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

69.87

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

78.23

69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

64.11

74.45

ACO-17

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

90.73

90.98

ACO-18

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

34.82

53.63

ACO-19

Colorectal Cancer Screening

72.58

61.52

ACO-20

Breast Cancer Screening

71.37

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

47.98

76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.03

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

13.31

18.24

ACO-41

Diabetes: Eye Exam  

56.45

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

77.42

70.52

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

95.56

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

92.31

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

74.72

79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.   

 

Note: In the Quality Performance Results file(s) above, search for “TPN Health Partners, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A94144 in the public use files on data.cms.gov.