CMS Reporting

Caravan Health CCCN ACO LLC

ACO Name and Location

1780 Barnes Blvd SW
Tumwater, Washington 98512

ACO Primary Contact

Primary Contact Name Riley Page
Primary Contact Phone Number 916-542-4714
Primary Contact Email Address

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Columbia Basin Health Association N
Columbia Valley Community Health  N
International Community Health Services  N
Mariposa Community Health Center N
Peninsula Community Health Services  N
Sea-Mar Community Health Center N
Yakima Valley Farm Workers Clinic N

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
Shahbaziam Hermes Board Member 1 ACO Participant Representative International Community Health Services
Gibbs Jeffery Board Member 1 ACO Participant Representative Sea-Mar Community Health Center
Hansen  Stephanie  Board Member 1 ACO Participant Representative Yakima Valley Farm Workers Clinic
Bucknam Patrick Board Member 1 ACO Participant Representative Columbia Basin Health Association
Gleasman Phyllis Board Member 1 ACO Medicare Beneficiary N/A

Key ACO clinical and administrative leadership:

Patrick Bucknam ACO Executive
Stephanie Hansen  Medical Director
Leeann Hastings Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Executive Committe Patrick Bucknam- Chair
Steering Committee Patrick Bucknam- Chair 

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

Quality Performance Results

2022 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)    
ACO-13 Falls: Screening for Future Fall Risk    
ACO-14 Preventive Care and Screening: Influenza Immunization    
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention    
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan    
ACO-19 Colorectal Cancer Screening    
ACO-20 Breast Cancer Screening    
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease    
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control    
ACO-28 Hypertension (HTN): Controlling High Blood Pressure    

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Years’ Financial and Quality Performance Results, Please Visit

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