ACO Information for Public Reporting

Shared Savings Program Public Reporting Template

ACO Name and Location

Kootenai Accountable Care, LLC
2003 Kootenai Health Way
Coeur d’Alene, Idaho 83814

ACO Primary Contact

Ramon Guel
208-625-4320
[email protected]

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
ACTIVE FAMILY HEALTHCARE PLLC	No
APPLE FAMILY CARE PLLC	No
CORNERSTONE PROFESSIONAL ASSOCIATES	No
Family Medical Care Pllc	No
IRONWOOD FAMILY PRACTICE, PA	No
JOHN A STURGES M D P A	No
Kootenai Health, Inc.	No
POST FALLS FAMILY MEDICINE P.A.	No

ACO Governing Body:

Member First Name	Member Last Name	Member Title/Position	Member’s Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Alison	Granier	Member	0%	Community Stakeholder Representative	N/A
Bradley	Brososky	Chair	10%	ACO Participant Representative	CORNERSTONE PROFESSIONAL ASSOCIATES
Bradley	Drury	Member	10%	ACO Participant Representative	Kootenai Health, Inc.
Charlotte	Weeda	Vice Chair	0%	Community Stakeholder Representative	N/A
Christian	Mendard	Member	10%	ACO Participant Representative	Kootenai Health, Inc.
Dave	Levine	Member	10%	Medicare Beneficiary Representative	N/A
David	Johnson	Member	10%	ACO Participant Representative	Kootenai Health, Inc.
Jamie	Smith	Member	10%	ACO Participant Representative	Kootenai Health, Inc.
Karen	Cabell	Member	10%	ACO Participant Representative	Kootenai Health, Inc.
Michelle	Bouit	Member	10%	ACO Participant Representative	Kootenai Health, Inc.
Patrick	Marvil	Member	10%	ACO Participant Representative	POST FALLS FAMILY MEDICINE P.A.
Timothy	Burns	Member	10%	ACO Participant Representative	IRONWOOD FAMILY PRACTICE, PA

Member’s voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Ramon Guel
Medical Director: Dr. Karen Cabell
Compliance Officer: Johanna Brown
Quality Assurance/Improvement Officer: Dr. William Faber

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Quality Committee	Dr. Kelly McGrath, Chair
Contract and Finance Committee	Dr. Scott Magnuson, Chair
Membership Committee	Dr. Hollie Mills, Chair

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

Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Third Agreement Period
- Performance Year 2026, N/A
- Performance Year 2025, N/A
Second Agreement Period
- Performance Year 2024, N/A
- Performance Year 2023, $0.00
- Performance Year 2022, $2,208,186.00
First Agreement Period
- Performance Year 2021, $4,179,014.86
- Performance Year 2020, $0
- Performance Year 2019, $3,829,358.49
- Performance Year 2018, $3,460,013.61

Shared Savings Distribution:

Third Agreement Period
- Performance Year 2026
  - 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 2025
  - 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 2024
  - 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 2023
  - 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 2022
  - Proportion invested in infrastructure: 20%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 75%
First Agreement Period
- Performance Year 2021
  - Proportion invested in infrastructure: 16.75%
  - Proportion invested in redesigned care processes/resources: 6.75%
  - Proportion of distribution to ACO participants: 76.5%
- Performance Year 2020
  - 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
  - Proportion invested in infrastructure: 7.5%
  - Proportion invested in redesigned care processes/resources: 7.5%
  - Proportion of distribution to ACO participants: 85%
- Performance Year 2018
  - Proportion invested in infrastructure: 5%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 90%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)
112	Breast Cancer Screening	CMS Web Interface	89.15	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	86.07	86.50
370	Depression Remission at Twelve Months	CMS Web Interface	14.02	17.35
001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	6.18	9.44
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	85.5	81.46
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	79.39	83.68
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	82.84	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.06	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	91.12	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	74.67	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	66.3	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	60.85	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.13	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	87.17	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	94.55	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	23.97	26.98

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18
beneficiaries attributed to non-QP providers.