Kootenai Care Network

HomeACO Information for Public Reporting

ACO Information for Public Reporting

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
Last Name

Member
First Name

Member
Title/Position

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%
  • 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%
  • 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%
  • 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%

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

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