CMS Reporting

Caravan Health ACO 41 LLC

ACO Name and Location

Caravan Health ACO 41 LLC
dba Avera Prairie View ACO
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.or

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
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
Orthopaedics PC Y

ACO governing body:

Member Member’s Voting Power (expressed as a percentage or a number) Membership Type ACO Participant TIN
Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Bates Rob Board Member 1 ACO Participant Representative Avera St. Marys 
Flicek David Board Member 1 ACO Participant Representative Avera Mckennan
Bumgarner William Board Member 1 ACO Participant Representative Spencer Municipal Hospital
Basel, MD David  Board Member  1 ACO Participant Representative Avera McKennan
Ekeren Doug Board Member 1 ACO Participant Representative Sacred Heart Health Services
Forkel  Todd Board Member 1 ACO Participant Representative Avera St. Luke
Gibbs Michael Board Member 1 ACO Participant Representative Heart Hospital of South Dakota LLC
Hardwick Jim Board Member 1 ACO Participant Representative Rural Health Care Inc. 
Harrington  Jason Board Member 1 ACO Participant Representative Lakes Regional Healthcare 
Wright Dustin Board Member 1 ACO Participant Representative Floyd Valley 
Fanta, MD Susan Board Member 1 ACO Participant Representative Yankton Medical Clinic
Clark Patrick Board Member 1 ACO Medicare Beneficiary  Avera McKennan
Timpe David Board Member 0 ACO Participant Representative Avera McKennan
Clark Tom Board Member 1 ACO Participant Representative Avera Queen of Peace
Merkley Jason Board Member 1 ACO Participant Representative City of Brookings 
Bergeleen Teri Board Member 0 N/A N/A

Key ACO clinical and administrative leadership:

David Flicek ACO Executive
Dr. David Basel Medical Director
Leeann Hastings 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

mount of Shared Savings/Losses

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

Shared Savings Distribution

  • First Agreement Period
    • 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 2020
      • 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

2021 Quality Performance Results:

Measure# Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 14.43 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 73.41 74.38
236 Controlling High Blood Pressure 76.3 74.87
318 Falls: Screening for Future Fall Risk  97.45 87.03
110 Preventative Care and Screening: Influenza Immunization 82.35 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 91.67 80.97
113 Colorectal Cancer Screening 74.36 73.63
112 Breast Cancer Screening 78.29 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.16 84.24
321 CAHPS for MIPS3 N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1416 0.154
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 34.37 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.

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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