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Northwest ACO Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance - Northwest, LLC
330 Seven Springs Way
Brentwood, TN 37027


ACO Primary Contact

Primary Contact Name Delana Quinlin
Primary Contact Phone Number (615) 920-7000
Primary Contact Email Address delana.quinlin@lpnt.net

Organizational Information

ACO Participants:

ACO Participant

ACO Participant in

Joint Venture (Y or N)

Catalyst Medical Group, PLLC N
Lourdes Hospital LLC N
RCCH Trios Health LLC N
RCHP Billings - Missoula LLC N
Sandpoint Family Health Center, LLC N
SJRMC Interventional Radiology Services, LLC N
St Joseph Hospital LLC N

ACO Governing Body:

Member First Name Member Last Name Title/Position Members' Voting Power Membership Type ACO Participant Legal Business Name
Kristin Anderson, MD Member 11.1111% ACO Participant Representative RCHP Billings - Missoula LLC
Steve Boyea, MD Member 11.1111% ACO Participant Representative Catalyst Medical Group, PLLC
Scott  Dunn, MD Member 11.1111% ACO Participant Representative Sandpoint Family Health Center, LLC
Kristen Phillips Member 11.1111% Community Stakeholder Representative N/A
Aaron Poole Member 11.1111% ACO Participant Representative Catalyst Medical Group, PLLC
Michael Rooney Medicare Beneficiary 11.1111% Medicare Beneficiary Representative N/A
Karl Sundberg Member 11.1111% ACO Participant Representative Catalyst Medical Group, PLLC
Kevin Taylor, MD Member 11.1111% ACO Participant Representative Lourdes Hospital, LLC
DeWayne Weaver, MD Member 11.1111% ACO Participant Representative Catalyst Medical Group, PLLC

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


Key ACO Clinical and Administrative Leadership:

ACO Executive Delana Buntin
Medical Director Timothy Dykstra, DO
Compliance Officer Ashlie Heald
Quality Assurance/Improvement Officer      Carol Ann Hudson

ACO Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Contracting and Finance Charlie Pearce, Committee Chair
Quality and Performance Improvement      Carol Ann Hudson, Committee Chair

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

  • Federally Qualified Health Center (FQHC)
  • ACO Professionals in a group practice arrangement
  • Hospital Employing ACO Professionals
  • Network of individual practices of ACO professionals
  • Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings & Losses:

  • First Performance Period
    • Performance Year 2022, $0

Shared Savings Distribution:

  • First Performance Period
    • Performance Year 2022
      • N/A

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on eCQMs/MIPS CQMs

Measure # Measure Name Collection Type ACO Performance ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] MIPS CQM 49.62 44.73
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan eCQM 58.43 39.11
236 Controlling High Blood Pressure MIPS CQM 63.51 68.82
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims 0.1292 0.1510
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 26.02 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 79.60 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 92.02 93.47
CAHPS-3 Patient's Rating of Provider CAHPS for MIPS Survey 89.91 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 78.40 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 65.00 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 65.92 60.97
CAHPS-7 Health Status and Functional Status  CAHPS for MIPS Survey 71.17 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 84.98 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.56 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 19.43 25.62

[1] A lower performance rate corresponds to higher quality.

Previous Years' Financial and Quality Performance Results: please visit data.cms.com.


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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