CHCNI : Medicare ACO

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 & Title	Member's Voting Power	Membership Type	ACO 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 Name	Committee 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.