CMS Reporting

Caravan Health ACO 41 LLC

ACO Name and Location

Caravan Health ACO 41 LLC
dba Avera Prairie View ACO


4055 Valley View Ln, Suite 700

Dallas, TX 75244

 

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

Avera Marshall

Y

Avera McKennan

Y

City of Brookings 

N

Heart Hospital of South Dakota LLC

Y

Avera St. Marys 

Y

Avera St. Lukes

Y

Avera Queen of Peace 

Y

Lakes Regional Hospital

Y

Floyd Valley Hospital

Y

Spencer Municipal Hospital

Y

Rural Health Care Inc 

Y

Anesthesiology Associates, Inc.

N

Midwest Ear, Nose & Throat Associates PC

N

Northwest Iowa Urologist OC

N

NWIA Bone, Joint & Sports Surgeons, PC

N

Northwest Iowa Ear Nose and Throat PC

N

Opthalmology LTD

N

Surgical Institute of South Dakota PC

N

Midwest Radiology and Imaging PC

N

Ophthalmology LTD Eye Surgery Center LLC

N

Northwest Iowa Surgeons PC

N

Northwest Iowa Anesthesia Associates 

N

Physicians Laboratory, LTD.

N

Physicians Laboratory of Northwest Iowa LTD

N

USC Ambulatory Surgical Center Prof LLC

N

Urology Specialists Chartered 

N

Yankton Medical Clinic PC

N

Sacred Heart Health Services 

Y

Avera At Home

N

 

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

Debbie

Streier

Board Member

7.692%

ACO Participant Representative

Avera Marshall

Shantel

Krebs

Board Member

7.692%

ACO Participant Representative

Avera St. Marys 

David

Flicek

Board Member

7.692%

ACO Participant Representative

Avera Mckennan

Brenda

Tiefenthaler 

Board Member

7.692%

ACO Participant Representative

Spencer Municipal Hospital

David

Basel, MD 

Board Member 

7.692%

ACO Participant Representative

Avera McKennan

Doug

Ekeren 

Board Member

7.692%

ACO Participant Representative

Sacred Heart Health Services

Dan 

Bjerkness

Board Member

7.692%

ACO Participant Representative

Avera St. Luke

Michael 

Gibbs

Board Member

7.692%

ACO Participant Representative

Heart Hospital of South Dakota LLC

Jim 

Hardwick

Board Member

7.692%

ACO Participant Representative

Rural Health Care Inc. 

Jeremy 

Bolluyt 

Board Member

7.692%

ACO Participant Representative

Lakes Regional Healthcare 

Dustin 

Wright

Board Member

7.692%

ACO Participant Representative

Floyd Valley 

Susan 

Fanta, MD

Board Member

7.692%

ACO Participant Representative

Yankton Medical Clinic

Patrick 

Clark

Board Member

7.692%

ACO Medicare Beneficiary 

Avera Queen of Peace

Hilary 

Rockwell

Board Member

7.692%

ACO Participant Representative

Avera Queen of Peace

Teri 

Bergeleen

Board Member

0%

N/A

N/A

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Key ACO clinical and administrative leadership:

David Flicek ACO Executive
Dr. David Basel Medical Director
T. Gregory Compliance Officer
Eric Boyce Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Executive Committee David Flicek-Chairman 
Steering Committee David Basel, MD- Vice-Chairman 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2020, $0
    • Performance Year 2021, $0
    • Performance Year 2022, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2019
      • 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 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 2021
      • 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: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    •  
 

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure # 

Measure Name

Collection Type

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]

CMS Web Interface

7.82

10.71

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

CMS Web Interface

77.44

76.97

236

Controlling High Blood Pressure

CMS Web Interface

71.10

76.16

318

Falls: Screening for Future Fall Risk 

CMS Web Interface

98.81

87.83

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

74.90

77.34

226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

CMS Web Interface

81.82

79.27

113

Colorectal Cancer Screening

CMS Web Interface

80.48

75.32

112

Breast Cancer Screening

CMS Web Interface

79.04

78.07

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

84.88

86.37

370

Depression Remission at Twelve Months

CMS Web Interface

15.69

16.03

321

CAHPS for MIPS [3]

CMS Web Interface

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]

CMS Web Interface

0.1302

0.1510

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

CMS Web Interface

33.19

30.97

 

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.

 

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

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