CMS Reporting
Caravan Health ACO 15 LLC
ACO Name and Location
Caravan Health ACO 15 LLC
dba Prairie Vista Care Organization
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 64153
ACO Primary Contact
| Primary Contact Name | Teri Bergeleen |
| Primary Contact Phone Number | 605-322-4576 |
| Primary Contact Email Address | Teri.Bergeleen@avera.org |
Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
| Hendricks Community Hospital Assn & Retirement Home | Y |
| Avera Tyler | Y |
| Avera Marshall | Y |
| Pipestone County Medical Center | Y |
| Avera Granite Falls | Y |
| AVERA HOLY FAMILY | Y |
| SIOUX CENTER HEALTH | Y |
| Hegg Memorial Hospital | Y |
| ST BENEDICT HEALTH CENTER | Y |
| Freeman Regional Health Services | Y |
| PLATTE COMMUNITY MEMORIAL HOSPITAL INC | Y |
| MARSHALL COUNTY MEMORIAL HOSPITAL | Y |
| LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION | Y |
| AVERA ST ANTHONYS HOSPITAL | Y |
| Regional Health Services of Howard County | Y |
| Avera Gettysburg | Y |
| City of Redfield | Y |
ACO governing body:
| Member | Member's Voting Power (Expressed as a percentage or number) | Membership Type | ACO Participant TIN Legal Business Name/DBA, if Applicable |
||
| Last Name | First Name | Title/Position | |||
| Gemar | Greg | Board Member | 1 | Medicare Beneficiary Representative | N/A |
| Gale | Melissa | Vice-Chairman | 1 | ACO Participant Representative | Landmann Jungman Memorial Hospital Corporation |
| Streier | Debbie | Board Member | 1 | ACO Participant Representative | Avera Marshall |
| Zevenbergen | Glenn | Board Member | 1 | ACO Participant Representative | Hegg Memorial Hospital |
| Burris | Brad | Board Member | 1 | ACO Participant Representative | Pipestone County Medical Center |
| Bradner | Nicholas | Board Member | 1 | ACO Participant Representative | Freeman Regional Health Services |
| Kooiman | Tom | Board Member | 1 | ACO Participant Representative | Avera Granite Falls |
| Gollaher | Jeff | Board Member | 1 | ACO Participant Representative | Hendricks Community Hospital Assn & Retirement Home |
| Blasius | Rita | Chairman | 1 | ACO Participant Representative | St. Benedict Health Center |
| Bergeleen | Teri | Board Member | 0 | Other | N/A |
| Burket | Mark | Board Member | 1 | ACO Participant Representative | Platte Community Memorial Hospital Inc |
| Herzberg | Deb | Board Member | 1 | ACO Participant Representative | Avera Holy Family |
| Nelson | Cory | Board Member | 1 | ACO Participant Representative | Sioux Center Health |
| Sanger | Larissa | Board Member | 1 | Other | N/A |
| Consbruck | Todd | Board Member | 1 | ACO Participant Representative | Avera St Anthony’s Hospital |
| Basel | Daivd | ACO Medical Director | 1 | Other | N/A |
| Fosness | Nick | Board Member | 1 | ACO Participant Representative | Marshall County Memorial Hospital |
Key ACO clinical and administrative leadership:
| David Flicek | ACO Executive |
| David Basel, MD | Medical Director |
| Compliance Officer | |
| Rayna Caplan | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
| Committee Name | Committee Leader Name and Position |
| Information Technology Committee | Eric Boyce, Chairman |
| Care Coordination & Patient Engagement Committee | Brett Kollars, Chairman |
| Evidence-Based Medicine Committee | David Basel, Chairman |
| Finance Committee | Teri Bergeleen, Chairman |
| Quality & Performance Improvement Committee | Bret Kollars, Chairman |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Critical Access Hospital (CAH) billing under Method II
- Hospital employing ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Rural Health Clinic (RHC)
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2018, $0
- Performance Year 2019, $1,755,090.00
- Performance Year 2020, $0
- Performance Year 2021, $0
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Shared Savings Distribution
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2019
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Quality Performance Results
2021 Quality Performance Results:
| Measure# | Measure Name | Rate | ACO Mean |
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | 13.09 | 12.46 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 82.75 | 74.38 |
| 236 | Controlling High Blood Pressure | 71.38 | 74.87 |
| 318 | Falls: Screening for Future Fall Risk | 97.96 | 87.03 |
| 110 | Preventative Care and Screening: Influenza Immunization | 83.63 | 80.52 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 75 | 80.97 |
| 113 | Colorectal Cancer Screening | 81.21 | 73.63 |
| 112 | Breast Cancer Screening | 81.48 | 75.11 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 83.4 | 84.24 |
| 321 | CAHPS for MIPS3 | N/A | N/A |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 | 0.1376 | 0.154 |
| MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 | 35.14 | 33.99 |
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
