CHCNI

    Medicare ACO

    Idaho's congressional districts

    ACO NAME & LOCATION

    Community Health Center Network of Idaho, LLC
    1087 W. River Street, Suite 160
    Boise, ID 83702

    ACO PRIMARY CONTACT

    Moriah Nelson
    Phone: 208-898-3824
    Email: mnelson@idahopca.org


     

    ORGANIZATIONAL INFORMATION

    All participants are involved in a joint venture.

    ACO Participants
    • Adams County Health Center, Inc.
    • Challis Area Health Center
    • Community Council of Idaho, Inc.
      (Community Family Clinic)
    • Community Health Association of Spokane
      (CHAS Health)
    • Family Health Services Corporation
    • The Family Medicine Residency of Idaho, Inc.
    • Glenns Ferry Health Center, Inc.
      (Desert Sage Health Centers)
    • Upper Valley Community Health Services, Inc.
      (Grand Peaks Medical and Dental)
    • Health West, Inc.
    • Dirne Health Centers, Inc.
      (Heritage Health)
    • Boundary Regional Community Health Center, Inc.
      (Kaniksu Health Services)
    • Benewah Medical Center
      (Marimn Health)
    • Community Health Clinics, Inc.
      (Terry Reilly Health Services)
    • Valley Family Health Care, Inc.

     

    ACO GOVERNING BODY

    Name & TitleMember's
    Voting Power
    Membership TypeACO Participant TIN
    Legal Business Name/DBA
    Kim Smith, Board Member 1 ACO Participant Representative Adams County Health Center, Inc.
    Steve Rembelski, Board Member 1 ACO Participant Representative Challis Area Health Center
    Arnold Cantu, Board Member 1 ACO Participant Representative Community Council of Idaho, LLC
    (Community Family Clinic)
    Aaron Wilson, Board Member 1 ACO Participant Representative Community Health Association of Spokane
    (CHAS Health)
    Aaron Houston, Board Member 1 ACO Participant Representative Family Health Services Corporation
    Ted Epperly, Board Member 1 ACO Participant Representative Family Medicine Residency of Idaho, Inc.
    Mary Ferguson, Board Member 1 ACO Participant Representative Glenns Ferry Health Center, Inc.
    (Desert Sage Health Centers)
    Lori Sessions, Board Member 1 ACO Participant Representative Upper Valley Community Health Services, Inc.
    (Grand Peaks Medical & Dental)
    Mindy Benedetti, Board Member 1 ACO Participant Representative Health West, Inc.
    Michael Baker, Board Member 1 ACO Participant Representative Dirne Health Centers, Inc.
    (Heritage Health)
    Kevin Knepper, Board Member 1 ACO Participant Representative Boundary Regional Community Health Center, Inc.
    (Kaniksu Health Services)
    Helo Hancock, Board Member 1 ACO Participant Representative Benewah Medical Center
    (Marimn Health)
    Heidi Hart, Board Member 1 ACO Participant Representative Community Health Clinics, Inc.
    (Terry Reilly Health Services)
    Tim Heinze, Board Member 1 ACO Participant Representative Valley Family Health Care, Inc.
    Denise Chuckovich, Beneficiary 1 Medicare Beneficiary Representative N/A
    Yvonne Ketchum-Ward, Board Member 1 Community Stakeholder Representative Idaho Primary Care Association

     


     

    KEY CLINICAL & ADMINISTRATIVE LEADERSHIP

    • Yvonne Ketchum-Ward, ACO Executive
    • Andrew Baron, Medical Director
    • Luke Malek, Compliance Officer
    • Susan Ault, Quality Assurance/Improvement Officer

     

    ASSOCIATED COMMITTEES & COMMITTEE LEADERSHIP

    Committee NameCommittee Leader Name & Position
    Quality & Clinical Informatics Susan Ault, Quality Assurance/Improvement Officer
    Utilization Review Andrew Baron, MD, Medical Director
    Finance Mary Ferguson, Board Member

     


     

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

    • Networks of individual practices of ACO professionals

    Amount of Shared Savings/Losses

    • First Agreement Period
      • Performance Year 2018, $0
    • Second Agreement Period
      • Performance Year 2019, $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
    • Second 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

     

    Quality Performance Results

    2019 Quality Performance Results:

    ACO#

    Measure Name

    Rate

    ACO Mean

    ACO-1

    CAHPS: Getting Timely Care, Appointments, and Information

    78.76

    85.86

    ACO-2

    CAHPS: How Well Your Providers Communicate

    90.14

    94.11

    ACO-3

    CAHPS: Patients’ Rating of Provider

    88.85

    92.69

    ACO-4

    CAHPS: Access to Specialists

    78.51

    81.54

    ACO-5

    CAHPS: Health Promotion and Education

    56.21

    60.44

    ACO-6

    CAHPS: Shared Decision Making

    55.45

    62.78

    ACO-7

    CAHPS: Health Status/Functional Status

    71.08

    73.79

    ACO-34

    CAHPS: Stewardship of Patient Resources

    27.80

    26.17

    ACO-35

    CHAPS: Courteous and Helpful Office Staff

    89.31

    92.84

    ACO-46

    CHAPS: Care Coordination

    82.28

    86.89

    ACO-8

    Risk Standardized, All Condition Readmission

    14.31

    14.86

    ACO-38

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    59.18

    58.15

    ACO-43

    Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

    1.51

    1.87

    ACO-13

    Falls: Screening for Future Fall Risk

    40.97

    84.04

    ACO-14

    Preventive Care and Screening: Influenza Immunization

    63.51

    74.77

    ACO-17

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

    86.15

    78.04

    ACO-18

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

    74.67

    70.40

    ACO-19

    Colorectal Cancer Screening

    57.64

    70.76

    ACO-20

    Breast Cancer Screening

    57.67

    73.84

    ACO-42

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    80.61

    82.17

    ACO-27

    Diabetes: Hemoglobin A1c Poor Control (>9%)

    17.41

    13.88

    ACO-28

    Controlling High Blood Pressure

    74.71

    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 year's financial and quality performance results, please visit data.cms.gov.


     

    Payment Rule Waivers

    • Waiver for Payment for Telehealth Services:
      • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.

     

     To anonymously report any ACO-related compliance issues, please call the CHCNI ACO line at (208) 972-5600.