Northwest ACO Public Reporting

Shared Savings Program Public Reporting

ACO Name and Location

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

ACO Primary Contact

Delana Hanacek
615.920.7000
delana.hanacek@lpnt.net

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Catalyst Medical Group, PLLC	N
Complete Family Care PLLC	N
Lourdes Hospital LLC	N
McMinnville Immediate Health Care LLC	N
Morasch Medical PC	N
Northeastern Nevada Physician Practices LLC	N
PHC-Elko Inc	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
Total Health Physician Group LLC	N
Willamette Valley Clinics LLC	N

ACO Governing Body:

Member First Name	Member Last Name	Member Title / Position	Member’s Voting Power(As a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Kristin	Anderson, MD	Member	11.111%	ACO Participant Representative	RCHP Billings - Missoula LLC
Allison	Bivens	Member	11.111%	Community Stakeholder Representative	N/A
Catherine	Brenaman	Member	11.111%	ACO Participant Representative	RCCH Trios Health LLC
Scott	Dunn, MD	Chair	11.111%	ACO Participant Representative	Sandpoint Family Health Center, LLC
Whitney	Fix-Lanes, DO	Vice Chair	11.111%	ACO Participant Representative	RCCH Trios Health LLC
Darby	Lynch, MD	Member	11.111%	ACO Participant Representative	St Joseph Hospital LLC
Joelle	Millikin, MD	Member	11.111%	ACO Participant Representative	St Joseph Hospital LLC
Aaron	Poole	Member	11.111%	ACO Participant Representative	St Joseph Hospital LLC
Michael	Rooney	Medicare Beneficiary	11.111%	Medicare Beneficiary Representative	N/A

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

Key ACO Clinical and Administrative Leadership:

ACO Executive: Delana Hanacek
Medical Director: Timothy Dykstra, D.O.
Compliance Officer: Ashlie Heald
Quality Assurance/Improvement Officer: Carol Ann Hudson

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Contracting & Finance	Charlie Pearce, Committee Chair

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

ACO Professionals in a group practice arrangement
Hospital Employing ACO Professionals
Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period
- Performance Year 2024, $0
First Agreement Period
- Performance Year 2023, $0
- Performance Year 2022, $0

Shared Savings Distribution:

Second Agreement Period
- Performance Year 2024
  - N/A
- First Agreement Period
  - Performance Year 2023
    - N/A
  - Performance Year 2022
    - N/A

Quality Performance Results

2024 Quality Performance Results:

Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	MIPS CQM	53.38	60.00
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	eCQM	54.02	31.79
236	Controlling High Blood Pressure	MIPS CQM	65.60	40.00
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1314	0.1538
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	80.49	83.70
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.65	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	90.39	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	73.24	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	59.46	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	65.72	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.45	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	81.92	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.59	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	19.44	26.98

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

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.
Payment for Telehealth Services:
- N/A