ACO Name and Locations
Kootenai Accountable Care, LLC
2003 Kootenai Health Way
Coeur d’Alene, Idaho 83814
ACO Primary Contact
Daniel Hiebert, Vice President
208-625-4271
[email protected]
ACO Participants:
ACO Participants |
ACO Participant in Joint Venture |
ACTIVE FAMILY HEALTHCARE PLLC |
N |
ANESTHESIA ASSOCIATES OF COEUR D ALENE PLLC |
N |
APPLE FAMILY CARE PLLC |
N |
BEACON CANCER CARE PLLC |
N |
BOUNDARY COMMUNITY HOSPITAL |
N |
CHRISTOPHER BUTLER DPM P.C. |
N |
CLEARWATER VALLEY HOSPITAL & CLINICS INC |
N |
COEUR D ALENE SPINE AND BRAIN PLLC |
N |
COEUR OBSTETRICS AND GYNECOLOGY, PLLC |
N |
COEUR VITALITY PLLC |
N |
CORNERSTONE PROFESSIONAL ASSOCIATES |
N |
CRAIG WIESENHUTTER |
N |
FAMILY MEDICAL CARE PLLC |
N |
HEALTH CARE FOR WOMEN, PA |
N |
INLAND NORTHWEST FOOT AND ANKLE PC |
N |
IRONWOOD FAMILY PRACTICE, PA |
N |
JEANNE ARNOLD |
N |
JOHN A STURGES MD PA |
N |
KOOTENAI HEALTH |
N |
KOOTENAI URGENT CARE LLC |
N |
MEZA POST ACUTE AND LONG TERM CARE, PLLC |
N |
MINIMALLY INVASIVE SURGERY NORTHWEST PA |
N |
NORTH IDAHO DERMATOLOGY PA |
N |
NORTH IDAHO EYE INSTITUTE, P.A. |
N |
NORTH IDAHO NEPHROLOGY ASSOCIATES, INC. |
N |
NORTH IDAHO UROLOGY, PLLC |
N |
PAIN MANAGEMENT OF NORTH IDAHO PLLC |
N |
POST FALLS FAMILY MEDICINE P.A. |
N |
RADIOLOGY ASSOCIATES OF NORTH IDAHO, PA |
N |
RYAN AVERETT DPM PC |
N |
ST. JOSEPH’S EAR, NOSE & THROAT |
N |
ST. MARY’S HOSPITAL |
N |
SURGICAL BARIATRICS NORTHWEST, INC. P.A. |
N |
SYRINGA GENERAL HOSPITAL DISTRICT CIF |
N |
ACO Governing Body:
Member |
Member |
Member |
Member’s Voting Power (Expressed as percentage) |
Membership Type |
ACO Participant Legal Business Name and D/B/A, if applicable |
Brososky |
Brad |
Chair |
10% |
ACO Participant Representative |
CORNERSTONE PROFESSIONAL ASSOCIATES |
McCrummen |
Brenna |
Vice Chair |
10% |
ACO Participant Representative |
KOOTENAI HEALTH |
Anderson |
Paul |
Member |
10% |
Medicare Beneficiary Representative |
N/A |
Burns |
Timothy |
Member |
10% |
ACO Participant Representative |
IRONWOOD FAMILY PRACTICE, PA |
Cabell |
Karen |
Member |
10% |
ACO Participant Representative |
KOOTENAI HEALTH |
Drury |
Brad |
Member |
10% |
ACO Participant Representative |
KOOTENAI HEALTH |
Weeda |
Charlotte |
Member |
0% |
Community Stakeholder Representative |
N/A |
Ness |
Jon |
Member |
10% |
ACO Participant Representative |
KOOTENAI HEALTH |
Seeley |
Robert |
Member |
10% |
ACO Participant Representative |
KOOTENAI HEALTH |
Webb |
Kimberly |
Member |
10% |
ACO Participant Representative |
KOOTENAI HEALTH |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Daniel Hiebert
Medical Director: Dr. Karen Cabell
Compliance Officer: Johanna Brown
Quality Assurance/Improvement Officer: Daniel Hiebert
Associated Committees and Committee Leadership:
Committee Name | Committee Leader Name and Position |
Quality Committee | Dr. Kelly McGrath, Chair |
Contract & Finance Committee | Dr. Scott Magnuson, 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:
- Fourth Agreement Period
- Performance Year 2021: $4,179,014
- Third Agreement Period
- Performance Year 2020: $0
- Second Agreement Period
- Performance Year 2019: $3,829,358
- First Agreement Period
- Performance Year 2018, $3,460,014
Shared Savings Distribution:
- Fourth 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 2021
- Third Agreement Period
- Performance Year 2020
- 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
- Second Agreement Period
- 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 2019
- First Agreement Period
- Performance Year 2018
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2018
Quality Performance Results
2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface
ACO Quality Measure Number |
Measure Name |
Rate |
ACO Mean |
001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 |
07.03 |
12.46 |
134 |
Preventative Care and Screening: Screening for Depression and Follow-up Plan |
81.92 |
74.38 |
236 |
Controlling High Blood Pressure |
79.23 |
74.87 |
318 |
Falls: Screening for Future Fall Risk |
93.94 |
87.03 |
110 |
Preventative Care and Screening: Influenza Immunization |
74.77 |
80.52 |
226 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
72.73 |
80.97 |
113 |
Colorectal Cancer Screening |
80.52 |
73.63 |
112 |
Breast Cancer Screening |
81.42 |
75.11 |
438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
84.29 |
84.24 |
479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 |
0.122 |
0.154 |
MCC1 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 |
27.41 |
33.99 |
CAHPS-1 |
Getting Timely Care, Appointments, and Information |
77.73 |
84.67 |
CAHPS-2 |
How Well Providers Communicate |
92.82 |
93.56 |
CAHPS-3 |
Patient’s Rating of Provider |
91.14 |
92.19 |
CAHPS-4 |
Access to Specialists |
77.61 |
78.80 |
CAHPS-5 |
Health Promotion and Education |
62.35 |
61.61 |
CAHPS-6 |
Shared Decision Making |
54.44 |
60.89 |
CAHPS-7 |
Health Status and Functional Status |
74.01 |
71.78 |
CAHPS-8 |
Care Coordination |
86.66 |
85.66 |
CAHPS-9 |
Courteous and Helpful Office Staff |
92.10 |
91.88 |
CAHPS-11 |
Stewardship of Patient Resources |
21.50 |
24.71 |
Please note, the Quality ID#: 370 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 data.cms.gov