ACO Name and Locations
Kootenai Accountable Care, LLC
2003 Kootenai Health Way
Coeur d’Alene, Idaho 83814
ACO Primary Contact
Michele Bouit, Chief Financial Officer
208-625-4001
[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 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 |
| HOSPICE OF NORTH IDAHO INC | N |
| IDAHO OCCUPATIONAL MEDICINE GROUP | N |
| INDIGO IDAHO SERVICES, LLC | 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 |
ACO Governing Body:
| Member Last Name | Member First Name | Member Title/Position | Member’s Voting Power (Expressed as a 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 |
| Marvil | Patrick | Member | 10% | ACO Participant
Representative
|
POST FALLS FAMILY MEDICINE P.A. |
| Bouit | Michele | Member | 10% | ACO Participant
Representative
|
KOOTENAI HEALTH |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Michele Bouit
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 & 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:
- Second Agreement Period
- Performance Year 2022, $2,208,186
- First Agreement Period
- Performance Year 2021, $4,179,015
- Performance Year 2020, $0
- Performance Year 2019, $3,829,358
- Performance Year 2018, $3,460,014
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 16.75%
- Proportion invested in redesigned care processes/resources: 6.75%
- Proportion of distribution to ACO participants: 76.5%
- 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: 16.75%
- Proportion invested in redesigned care processes/resources: 6.75%
- Proportion of distribution to ACO participants: 76.5%
- 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 2021
-
- 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
2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| Quality ID# 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | CMS Web Interface | 6.51 | 10.71 |
| Quality ID# 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 85.14 | 76.97 |
| Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 74.29 | 76.16 |
| Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 88.82 | 87.83 |
| Quality ID# 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 69.60 | 77.34 |
| Quality ID# 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 81.82 | 79.27 |
| Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 74.49 | 75.32 |
| Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 77.41 | 78.07 |
| Quality ID# 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 86.90 | 86.37 |
| Quality ID# 370 | Depression Remission at Twelve Months | CMS Web Interface | 11.46 | 16.03 |
| Quality ID# 321 | CAHPS for MIPS [3] | CMS Web Interface | N/A | N/A |
| Measure# 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] | CMS Web Interface | 0.1221 | 0.1510 |
| Measure# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 26.77 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CMS Web Interface | 82.28 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CMS Web Interface | 92.95 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | CMS Web Interface | 89.66 | 92.06 |
| CAHPS-4 | Access to Specialists | CMS Web Interface | 76.43 | 77 |
| CAHPS-5 | Health Promotion and Education | CMS Web Interface | 60.41 | 62.68 |
| CAHPS-6 | Shared Decision Making | CMS Web Interface | 62.98 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | CMS Web Interface | 73.74 | 73.06 |
| CAHPS-8 | Care Coordination | CMS Web Interface | 84.83 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CMS Web Interface | 92.78 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CMS Web Interface | 21.8 | 25.62 |
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov